Family Success Consortium Inc in Cincinnati - Psychologist
Family Success Consortium Inc - NPI 1275724916
Family Success Consortium Inc is a Psychologist in Cincinnati, Ohio. Family Success Consortium Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Family Success Consortium Inc is 1275724916. The last update date is 2010-06-23.
Family Success Consortium Inc's current location address is 11497 Springfield Pike, Cincinnati, Ohio. You can contact this provider via phone number 5137729300 and fax number 5137729302. The mailing address for Family Success Consortium Inc is 11497 Springfield Pike, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Success Consortium Inc |
|---|---|
| Address | 11497 Springfield Pike, Cincinnati, Ohio |
| Phone Number | 5137729300 |
| Fax Number | 5137729302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Evans Kendal Mark |
| Credentials | PSY.D. |
| Telephone Number | 5137729300 |
NPI Number Detail
| NPI Number | 1275724916 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2010-06-23 |
Provider Mailing Address Detail
| Address | 11497 Springfield Pike |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452463551 |
| Phone Number | 5137729300 |
| Fax Number | 5137729302 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4512 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 903848 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Family Success Consortium Inc by the Centers for Medicare & Medicaid Services?
The Family Success Consortium Inc has been assigned the NPI (National Provider Identifier) 1275724916. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Family Success Consortium Inc?
The Family Success Consortium Inc is physically situated at 11497 Springfield Pike, in the city of Cincinnati, state of OH, with the postal code 452463551.
What is Family Success Consortium Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Family Success Consortium Inc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275724916 to Family Success Consortium Inc?
The Centers for Medicare & Medicaid Services originally issued the 1275724916 to Family Success Consortium Inc on 2007-08-07.
As of what date were the details related to Family Success Consortium Inc most recently updated or revised?
The information pertaining to Family Success Consortium Inc, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-23.