MEDICARE: WEDA TURNER WT

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	101YP2500X	Professional Counselor	000000	OH
2	3747P1801X	Personal Care Attendant
3	101200000X	Drama Therapist	000000	OH

General Provider Information

NPI Number	:	1336940915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEDA TURNER WT

Provider Business Mailing Address
First Line	:	2721 BAKER AVE APT 18
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8132
Country	:	US
Telephone Number	:	513-383-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	2721 BAKER AVE APT 18
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-8132
Country	:	US
Telephone Number	:	513-383-2604
Fax Number	:

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

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	04/08/2025

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