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General NPI Number Information
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NPI Number | 1649133703
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Entity Type | Organization
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Legal Business Name | PREMIER MENTAL HEALTH PROFESSIONALS
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3380 ERIE AVE STE 100
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City | CINCINNATI
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State | OH
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Zip | 45208-1626
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Country | US
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Telephone | 513-400-5124
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 ERIE AVE STE 100
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City | CINCINNATI
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State | OH
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Zip | 45208-1626
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Country | US
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Telephone | 513-400-5124
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | PENELOPE CHAVEZ-FRIGON
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Credential | PSY.D.
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Telephone | 513-478-5786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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