Healthcare Provider Details

I. General information

NPI: 1295644730
Provider Name (Legal Business Name): QUIRK PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 COOPER ST
CINCINNATI OH
45223-2616
US

IV. Provider business mailing address

1612 COOPER ST
CINCINNATI OH
45223-2616
US

V. Phone/Fax

Practice location:
  • Phone: 864-310-7252
  • Fax: 864-428-2275
Mailing address:
  • Phone: 864-310-7252
  • Fax: 864-428-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. STUART WALTER QUIRK
Title or Position: SOLE PROPRIETOR/OWNER
Credential: PHD
Phone: 989-854-6486