Individual
DR. DAWN E BOUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
151 W GALBRAITH RD, CINCINNATI, OH 45216-1015
(513) 418-2500
(513) 418-2516
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4739
OH
103TC0700X
Clinical Psychologist
Primary
4739
OH
103TR0400X
Rehabilitation Psychologist
4739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0961786
—
OH
Enumeration date
03/05/2007
Last updated
08/23/2017
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