MEDICARE: DONNA ZIMMERMAN BARASCH MA LPCC

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	103T00000X	Psychologist	E0000852	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000222122	OTHER	ANTHEM
2	024750	OTHER	VMC
3	1218030	OTHER	CHA
4	505826	OTHER	VALUE OPTIONS
5	307555	OTHER	MHN
6	026935000	OTHER	MAGELLAN

General Provider Information

NPI Number	:	1487760005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ZIMMERMAN BARASCH MA LPCC

Provider Business Mailing Address
First Line	:	9900 CINCINNATI COLUMBUS ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1209
Country	:	US
Telephone Number	:	513-779-9955
Fax Number	:	513-779-9955

Provider Business Practice Location Address
First Line	:	9900 CINCINNATI COLUMBUS ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-1209
Country	:	US
Telephone Number	:	513-779-9955
Fax Number	:	513-779-9955

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/09/2017

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