Healthcare Provider Details

I. General information

NPI: 1609193606
Provider Name (Legal Business Name): ROBYN LEE WELLING M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11140 MONTGOMERY RD
CINCINNATI OH
45249
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD CBO2-3, CREDENTIALING, ATTN: VALERIE TAYLOR
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-421-5558
  • Fax: 513-632-5804
Mailing address:
  • Phone: 513-263-8571
  • Fax: 513-366-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA01019
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: