| Forpsych: A Forensic Psychology Practice | |
|
4217 Smith Rd Cincinnati OH 45212-4107 | |
| (513) 871-7285 | |
| (513) 871-7285 |
| Full Name | Forpsych: A Forensic Psychology Practice |
|---|---|
| Speciality | Psychologist |
| Location | 4217 Smith Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Nicole Leisgang (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 5138717285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forpsych: A Forensic Psychology Practice 4217 Smith Rd Cincinnati OH 45212-4107 Ph: (513) 871-7285 | Forpsych: A Forensic Psychology Practice 4217 Smith Rd Cincinnati OH 45212-4107 Ph: (513) 871-7285 |
| NPI Number | 1912442765 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912442765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6165 (Ohio) | Primary |
| 103T00000X | Psychologist | 20042365A (Indiana) | Secondary |
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