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Organization

JULIANNE GAST, PSY.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIANNE GAST PSY.D. (CLINICAL PSYCHOLOGIST)
(513) 321-6644
Entity
Organization

Contact information

Practice address
1117 FEHL LN, CINCINNATI, OH 45230-4349
(513) 321-6644
Mailing address
2292 DANA AVE, CINCINNATI, OH 45208-1025
(513) 321-2580
(513) 956-2858

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6719
OH

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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