Healthcare Provider Details

I. General information

NPI: 1083538755
Provider Name (Legal Business Name): KATHERINE PFEIFER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 GLENWAY AVE
CINCINNATI OH
45204-1738
US

IV. Provider business mailing address

9325 LOVELAND MADEIRA RD APT E
CINCINNATI OH
45242-5457
US

V. Phone/Fax

Practice location:
  • Phone: 513-914-1759
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: