Healthcare Provider Details

I. General information

NPI: 1932458650
Provider Name (Legal Business Name): RACHEL THOMPSON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 07/24/2022
Certification Date: 07/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

IV. Provider business mailing address

126 WELLINGTON PL
CINCINNATI OH
45219-1710
US

V. Phone/Fax

Practice location:
  • Phone: 513-444-2018
  • Fax: 513-672-1100
Mailing address:
  • Phone: 513-444-2018
  • Fax: 513-672-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7123
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: