Healthcare Provider Details

I. General information

NPI: 1952828576
Provider Name (Legal Business Name): MRS. ANGELA STALLO-KRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11156 CANAL RD STE A
CINCINNATI OH
45241-5816
US

IV. Provider business mailing address

11156 CANAL RD STE A
CINCINNATI OH
45241-5816
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-6166
  • Fax: 513-772-6177
Mailing address:
  • Phone: 513-772-6166
  • Fax: 513-772-6177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: