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NPI Code Detail

MEDICARE: DR. MARCIA ANN RASCH PHD

MEDICARE: DR. MARCIA ANN RASCH PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist4953OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053430637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCIA ANN RASCH PHD
Provider Business Mailing Address
First Line : 424 WARDS CORNER RD STE 200
Second Line :
City : LOVELAND
State : OH
Zip : 45140-6966
Country : US
Telephone Number : 513-576-7700
Fax Number : 513-576-1020
Provider Business Practice Location Address
First Line : 100 RIVER VALLEY BLVD
Second Line :
City : NEW RICHMOND
State : OH
Zip : 45157-8566
Country : US
Telephone Number : 513-553-3114
Fax Number : 513-553-1032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 04/07/2020

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Directions to “ DR. MARCIA ANN RASCH PHD” Practice Location

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