Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4559 | OH |
Y | 103T00000X | Psychologist | 4559 | OH |
NPI | 1003845116 |
---|---|
Provider Name | Rachelle Ann Sekerka |
First Address | Cincinnati, OH 45220-2213 |
Second Address | Cincinnati, OH 45220-2213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 08/07/2007 |