Organization
NEUROPSYCH CENTER OF GREATER CINCINNATI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIMOTHY SIGWARD PHD (OWNER)
(513) 563-0488
Entity
Organization
Contact information
Practice address
4015 EXECUTIVE PARK DR STE 320, CINCINNATI, OH 45241-4015
(513) 563-0488
(513) 563-0428
Mailing address
4015 EXECUTIVE PARK DR STE 320, CINCINNATI, OH 45241-4015
(513) 563-0488
(513) 563-0428
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177147
—
OH
Enumeration date
05/04/2016
Last updated
02/10/2023
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