Healthcare Provider Details

I. General information

NPI: 1669615910
Provider Name (Legal Business Name): DELANIE B ISAACS PC, C.R.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 MADISON RD
CINCINNATI OH
45227-1426
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1711
US

V. Phone/Fax

Practice location:
  • Phone: 513-321-8286
  • Fax:
Mailing address:
  • Phone: 513-751-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.0600339
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: