Healthcare Provider Details

I. General information

NPI: 1659501344
Provider Name (Legal Business Name): T. JOHN WINHUSEN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 HARVEY AVE
CINCINNATI OH
45229-3000
US

IV. Provider business mailing address

3131 HARVEY AVE
CINCINNATI OH
45229-3000
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-8227
  • Fax:
Mailing address:
  • Phone: 513-585-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5568
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: