Individual
DR. HOLLY WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229
(513) 517-1344
Mailing address
3333 BURNET AVENUE, ML 3015, CINCINNATI, OH 45229
(513) 517-1344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08651
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
09/11/2024
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