Organization
MERCY PROFESSIONAL SERVICES
Active
Other names
Fran A Repka
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W BURROUGHS III (ADMINISTRATOR)
(513) 221-2330
Entity
Organization
Contact information
Practice address
2330 VICTORY PKWY, SUITE 500, CINCINNATI, OH 45206-2839
(513) 221-2330
(513) 221-8954
Mailing address
2330 VICTORY PKWY, SUITE 500, CINCINNATI, OH 45206-2839
(513) 221-2330
(513) 221-8954
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923411
—
OH
Enumeration date
12/10/2007
Last updated
10/07/2009
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