Healthcare Provider Details

I. General information

NPI: 1467530394
Provider Name (Legal Business Name): CHRISTINE E. OGDEN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N GRAND AVE SUITE 100
FORT THOMAS KY
41075-4107
US

IV. Provider business mailing address

40 N GRAND AVE SUITE 100
FORT THOMAS KY
41075-4107
US

V. Phone/Fax

Practice location:
  • Phone: 859-572-4103
  • Fax: 859-572-3044
Mailing address:
  • Phone: 859-572-4103
  • Fax: 859-572-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0138
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0138
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0355
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: