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NPI Code Detail

MEDICARE: CLIPPARD FAMILY YMCA

MEDICARE: CLIPPARD FAMILY YMCA
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1720351562
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLIPPARD FAMILY YMCA
Provider Business Mailing Address
First Line : 8920 CHEVIOT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-5910
Country : US
Telephone Number : 513-923-4466
Fax Number :
Provider Business Practice Location Address
First Line : 8920 CHEVIOT RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-5910
Country : US
Telephone Number : 513-923-4466
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF SPECIAL NEEDS
Name : JENIKA MEHTA
Credential :
Telephone Number : 513-923-4466
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/09/2012

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Directions to “CLIPPARD FAMILY YMCA ” Practice Location

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