Lauren Tadevich
Psychologist in Cincinnati, OH. Individual provider (NPI-1).
NPI number1982308003
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1982308003
- Entity type
- Individual (NPI-1)
- Name
- Lauren Tadevich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | P.08626 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3333 Burnet Ave # Mlc4002Cincinnati, OH 45229-3026
Phone 513-636-4611
Mailing address
3333 Burnet AveCincinnati, OH 45229-3026
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