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NPI Code Detail

MEDICARE: HYDE PARK COUNSELING PROFESSIONALS

MEDICARE: HYDE PARK COUNSELING PROFESSIONALS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI-3059OH

General Provider Information

NPI Number : 1073064986
Entity Type Code : Organization
Provider Name (Legal Business Name) : HYDE PARK COUNSELING PROFESSIONALS
Provider Business Mailing Address
First Line : 2651 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2040
Country : US
Telephone Number : 513-310-8408
Fax Number : 513-533-4555
Provider Business Practice Location Address
First Line : 2651 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2040
Country : US
Telephone Number : 513-310-8408
Fax Number : 513-533-4555
Authorized Official
Title or Position : OWNER
Name : GERALDINE FERRARA
Credential :
Telephone Number : 513-310-8408
Provider Enumeration Date : 10/17/2016
Last Update Date : 01/23/2017

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Directions to “HYDE PARK COUNSELING PROFESSIONALS ” Practice Location

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