Healthcare Provider Details

I. General information

NPI: 1891729331
Provider Name (Legal Business Name): MAUREEN MARKS CASH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE ST 8N
CINCINNATI OH
45220-2213
US

IV. Provider business mailing address

3200 VINE ST 8N
CINCINNATI OH
45220-2213
US

V. Phone/Fax

Practice location:
  • Phone: 513-861-3100
  • Fax: 513-487-6613
Mailing address:
  • Phone: 513-861-3100
  • Fax: 513-487-6613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number4973
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: