| Geropsychology Consultants Inc | |
|
4030 Mt Carmel Tobasco Rd Ste 306d Cincinnati OH 45255 | |
| (513) 233-3500 | |
| (513) 233-3501 |
| Full Name | Geropsychology Consultants Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4030 Mt Carmel Tobasco Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Suzanne M Norman (OWNER) |
| Authorized Official Contact | 5132333500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsychology Consultants Inc Po Box 30264 Cincinnati OH 45230 Ph: (513) 233-3500 | Geropsychology Consultants Inc 4030 Mt Carmel Tobasco Rd Ste 306d Cincinnati OH 45255 Ph: (513) 233-3500 |
| NPI Number | 1770693889 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/08/2007 |
| Medicare PECOS PAC ID | 5193797934 |
|---|---|
| Medicare Enrollment ID | O20040811000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770693889 | NPI | - | NPPES |
| 2506612 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5372 (Ohio) | Primary |
| Provider Name | Suzanne M Norman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669498671 PECOS PAC ID: 7719959550 Enrollment ID: I20040813000453 |
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