Legacy Psychological Services, Llc | |
7105 Hamilton Ave Cincinnati OH 45231-5218 | |
(513) 699-9240 | |
(513) 681-8959 |
Full Name | Legacy Psychological Services, Llc |
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Speciality | Psychologist |
Location | 7105 Hamilton Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Jerome A Gabis (OWNER) |
Authorized Official Contact | 5136999240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Legacy Psychological Services, Llc Po Box 634927 Cincinnati OH 45263-0042 Ph: (513) 891-2813 | Legacy Psychological Services, Llc 7105 Hamilton Ave Cincinnati OH 45231-5218 Ph: (513) 699-9240 |
NPI Number | 1346267820 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 09/17/2009 |
Medicare PECOS PAC ID | 9638196785 |
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Medicare Enrollment ID | O20090521000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346267820 | NPI | - | NPPES |
2922476 | Medicaid | OH | |
DE6598 | Other | RR MEDICARE |
Provider Name | Deborah A Benedict |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417978859 PECOS PAC ID: 0749213882 Enrollment ID: I20050919000079 |
Provider Name | Jerome Gabis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992726327 PECOS PAC ID: 6901823061 Enrollment ID: I20051028000561 |
Provider Name | Victoria S Becker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437170867 PECOS PAC ID: 1153343850 Enrollment ID: I20051221001100 |
Provider Name | Babette Craig |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811922842 PECOS PAC ID: 9830247097 Enrollment ID: I20090428000568 |
Provider Name | Van Pham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184024218 PECOS PAC ID: 8820311145 Enrollment ID: I20141217002138 |
Provider Name | Carla Frances Antenucci |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689299539 PECOS PAC ID: 6608298534 Enrollment ID: I20200623002703 |
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