Healthcare Provider Details

I. General information

NPI: 1174754170
Provider Name (Legal Business Name): VANESSA HOPE DOYLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SUMMIT RD
CINCINNATI OH
45237-2621
US

IV. Provider business mailing address

25112 STATELINE RD
LAWRENCEBURG IN
47025-7318
US

V. Phone/Fax

Practice location:
  • Phone: 513-948-3600
  • Fax:
Mailing address:
  • Phone: 513-319-6512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2023037410
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number099531
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number160524
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: