Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1276539 | OH |
NPI | 1033532734 |
---|---|
Provider Name | Rachel Freeman-Hicks |
First Address | Loveland, OH 45140-8173 |
Second Address | Loveland, OH 45140-8173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2014 |
Last Update Date | 31/01/2014 |