Healthcare Provider Details

I. General information

NPI: 1811175912
Provider Name (Legal Business Name): SETON FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 02/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 WERK RD
CINCINNATI OH
45211-6844
US

IV. Provider business mailing address

3316 WERK RD
CINCINNATI OH
45211-6844
US

V. Phone/Fax

Practice location:
  • Phone: 513-471-9169
  • Fax: 513-471-9159
Mailing address:
  • Phone: 513-471-9169
  • Fax: 513-471-9159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number5639
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI 0005885
License Number StateOH

VIII. Authorized Official

Name: DR. HELMUT ROEHRIG
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 513-471-9169