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Individual

TERI LYNN CAUDILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3333 BURNET AVE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3677
Mailing address
3333 BURNET AVE, ML 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3677

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1252
KY
103TC0700X
Clinical Psychologist
7026
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.7026
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000325414
ANTHEM BC/BS NUMBER
KY
Enumeration date
09/28/2006
Last updated
02/12/2021
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