MEDICARE: DENISE KOHLER 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
1	103TC0700X	Clinical Psychologist	5172	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1447290473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE KOHLER PHD

Provider Business Mailing Address
First Line	:	10670 WEST PIKE
Second Line	:
City	:	HOPEWELL
State	:	OH
Zip	:	43746-9769
Country	:	US
Telephone Number	:	740-787-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	10670 WEST PIKE
Second Line	:
City	:	HOPEWELL
State	:	OH
Zip	:	43746-9769
Country	:	US
Telephone Number	:	740-787-1326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/18/2013

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