Healthcare Provider Details

I. General information

NPI: 1780133108
Provider Name (Legal Business Name): ERIN MERSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 09/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9860 WEST RD
HARRISON OH
45030-1929
US

IV. Provider business mailing address

2534 VICTORY PKWY
CINCINNATI OH
45206-2004
US

V. Phone/Fax

Practice location:
  • Phone: 513-367-4169
  • Fax:
Mailing address:
  • Phone: 513-684-7953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberS.1610209-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: