Healthcare Provider Details
I. General information
NPI: 1720178015
Provider Name (Legal Business Name): ELLEN O. BIERHORST PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 CLIFTON AVE
CINCINNATI OH
45220-1145
US
IV. Provider business mailing address
3901 CLIFTON AVE
CINCINNATI OH
45220-1145
US
V. Phone/Fax
- Phone: 513-221-1289
- Fax:
- Phone: 513-221-1289
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | 1828 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0700X |
| Taxonomy | Adult Development & Aging Psychologist |
| License Number | 1828 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 1828 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0000X |
| Taxonomy | Family Psychologist |
| License Number | 1828 |
| License Number State | OH |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 1828 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: