Healthcare Provider Details

I. General information

NPI: 1992955140
Provider Name (Legal Business Name): THE COUNSELING SOURCE FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 REED HARTMAN HWY SUITE 134
CINCINNATI OH
45242-2830
US

IV. Provider business mailing address

10921 REED HARTMAN HWY SUITE 134
CINCINNATI OH
45242-2830
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-8071
  • Fax:
Mailing address:
  • Phone: 513-984-8071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number4184
License Number StateOH

VIII. Authorized Official

Name: DR. DAVID F TURNER
Title or Position: OWNER/PRESIDENT
Credential: PH.D.
Phone: 513-984-8071