Individual
MARY DIANNE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
COA.15852-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/30/2006
Last updated
07/23/2014
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