Healthcare Provider Details

I. General information

NPI: 1275365223
Provider Name (Legal Business Name): FINESHA M OWENSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024
Certification Date: 08/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 TREMONT ST
CINCINNATI OH
45214-1433
US

IV. Provider business mailing address

1599 TREMONT ST
CINCINNATI OH
45214-1433
US

V. Phone/Fax

Practice location:
  • Phone: 513-615-9790
  • Fax:
Mailing address:
  • Phone: 513-615-9790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: