Organization
TABONO CENTER FOR WELLBEING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LEISGANG PSY.D. (DIRECTOR)
(513) 871-7285
Entity
Organization
Contact information
Practice address
4217 SMITH RD, CINCINNATI, OH 45212
(513) 871-7285
(513) 871-7281
Mailing address
4217 SMITH RD, CINCINNATI, OH 45212-4107
(513) 871-7285
(513) 871-7281
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6165
OH
Other
Enumeration date
09/06/2016
Last updated
07/27/2018
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