Individual
TASHA MONIQUE WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 5026, CINCINNATI, OH 45229
(513) 636-7722
(513) 636-3737
Mailing address
3333 BURNET AVE, MLC 2011, CINCINNATI, OH 45229-3026
(513) 636-7722
(513) 636-3737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.133512
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
55964
KY
Other
Enumeration date
04/15/2015
Last updated
07/29/2024
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