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NPI Code Detail

MEDICARE: ABBY LONNEMANN

MEDICARE:   ABBY  LONNEMANN
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
1103TC2200XClinical Child & Adolescent PsychologistP.08044OH

General Provider Information

NPI Number : 1528622859
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY LONNEMANN
Provider Business Mailing Address
First Line : 1230 CORNERSTONE BLVD APT 356
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-5357
Country : US
Telephone Number : 859-866-6542
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-3185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2019
Last Update Date : 03/06/2026

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Directions to “ ABBY LONNEMANN ” Practice Location

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