Healthcare Provider Details

I. General information

NPI: 1710066063
Provider Name (Legal Business Name): THOMAS A SCHWEINBERG PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 GLENMORE AVE
CINCINNATI OH
45211-6543
US

IV. Provider business mailing address

4075 OLD WESTERN ROW RD
MASON OH
45040-3104
US

V. Phone/Fax

Practice location:
  • Phone: 513-481-7500
  • Fax: 513-481-6316
Mailing address:
  • Phone: 513-536-0232
  • Fax: 513-536-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5211
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: