Healthcare Provider Details

I. General information

NPI: 1134648470
Provider Name (Legal Business Name): JACKIE R AUCOIN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 CINCINNATI BATAVIA PIKE
CINCINNATI OH
45244-1518
US

IV. Provider business mailing address

555 CINCINNATI BATAVIA PIKE
CINCINNATI OH
45244-1557
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-1555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: