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NPI Code Detail

MEDICARE: ABIGAIL ANN MACOMBER

MEDICARE: ABIGAIL ANN MACOMBER
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1558208546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL ANN MACOMBER
Provider Business Mailing Address
First Line : 3200 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2213
Country : US
Telephone Number : 513-861-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ ABIGAIL ANN MACOMBER ” Practice Location

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