Healthcare Provider Details

I. General information

NPI: 1982070769
Provider Name (Legal Business Name): DEBBIE MUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6881 BEECHMONT AVE
CINCINNATI OH
45230
US

IV. Provider business mailing address

6881 BEECHMONT AVE
CINCINNATI OH
45230
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-6630
  • Fax:
Mailing address:
  • Phone: 513-231-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.0026899
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: