Healthcare Provider Details

I. General information

NPI: 1003565417
Provider Name (Legal Business Name): MEGHAN HANEY MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE MLC 11027
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 585-748-7262
  • Fax: 513-803-1969
Mailing address:
  • Phone: 585-748-7262
  • Fax: 513-803-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: