Healthcare Provider Details

I. General information

NPI: 1992614853
Provider Name (Legal Business Name): VICTORIA RAINEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 AICHOLTZ RD
CINCINNATI OH
45245-3500
US

IV. Provider business mailing address

6805 CRESTBROOK DR
GOSHEN OH
45122-2600
US

V. Phone/Fax

Practice location:
  • Phone: 513-943-5000
  • Fax:
Mailing address:
  • Phone: 513-675-8019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: