Healthcare Provider Details

I. General information

NPI: 1841004355
Provider Name (Legal Business Name): BRITANY BEAUCHESNE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 IVY POINTE BLVD
CINCINNATI OH
45245-1767
US

IV. Provider business mailing address

4315 IVY POINTE BLVD
CINCINNATI OH
45245-1767
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-3880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.09008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: