Individual
THEA LORAINE QUINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3333 BURNET AVE # MLC3015, CINCINNATI, OH 45229-3026
(513) 803-7524
Mailing address
3333 BURNET AVE # MLC3015, CINCINNATI, OH 45229-3026
(513) 803-7524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P.07728
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.07728
OH
Other
Enumeration date
06/01/2018
Last updated
05/24/2019
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