MEDICARE: DR. STEPHEN W HALMI PSYD

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
1	103TC0700X	Clinical Psychologist	6135	OH

General Provider Information

NPI Number	:	1164452629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN W HALMI PSYD

Provider Business Mailing Address
First Line	:	9378 S MASON MONTGOMERY RD
Second Line	:	SUITE 397
City	:	MASON
State	:	OH
Zip	:	45040-8827
Country	:	US
Telephone Number	:	513-205-4047
Fax Number	:	513-336-9499

Provider Business Practice Location Address
First Line	:	4030 MOUNT CARMEL TOBASCO RD
Second Line	:	SUITE 127
City	:	CINCINNATI
State	:	OH
Zip	:	45255-3400
Country	:	US
Telephone Number	:	513-205-4047
Fax Number	:	513-336-9499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	10/22/2015

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