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General NPI Number Information
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NPI Number | 1467066597
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Entity Type | Organization
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Legal Business Name | PSYCHWORKS LLC
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Dates
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Enumeration Date | 09/05/2020
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 4239 HAMILTON AVE # 2A
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City | CINCINNATI
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State | OH
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Zip | 45223-2088
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Country | US
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Telephone | 513-549-0646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18951
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City | FAIRFIELD
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State | OH
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Zip | 45018-0951
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Country | US
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Telephone | 513-549-0646
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. RITCHIE V HALL II
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Credential | PH.D.
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Telephone | 513-549-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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