| Family Therapy Center Inc | |
|
8040 Hosbrook Road Suite 320 Cincinnati OH 45236-2908 | |
| (513) 861-9797 | |
| (513) 861-3510 |
| Full Name | Family Therapy Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 8040 Hosbrook Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Annette L Raver (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5138619797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Center Inc 8040 Hosbrook Road Suite 320 Cincinnati OH 45236-2908 Ph: (513) 861-9797 | Family Therapy Center Inc 8040 Hosbrook Road Suite 320 Cincinnati OH 45236-2908 Ph: (513) 861-9797 |
| NPI Number | 1861589319 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 10/03/2007 |
| Medicare PECOS PAC ID | 4284694381 |
|---|---|
| Medicare Enrollment ID | O20041013000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861589319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Susan R Eppley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275619421 PECOS PAC ID: 9739286915 Enrollment ID: I20070523000178 |
| Provider Name | Christine Clawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346327442 PECOS PAC ID: 1658547195 Enrollment ID: I20120104000436 |
| Provider Name | John Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356587091 PECOS PAC ID: 0345462909 Enrollment ID: I20141114000964 |
| Provider Name | Ruth C Schrider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811039373 PECOS PAC ID: 1759691868 Enrollment ID: I20151102001624 |
| Provider Name | James J Canfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487750428 PECOS PAC ID: 0749575520 Enrollment ID: I20160817002870 |
| Provider Name | Mark W Freshley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336368851 PECOS PAC ID: 4284907205 Enrollment ID: I20170913000858 |
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