Individual
SAMANTHA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4633 AICHOLTZ RD, CINCINNATI, OH 45244
(513) 752-1555
Mailing address
4629 AICHOLTZ RD, CINCINNATI, OH 45244-1551
(513) 752-1555
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2018
Last updated
08/20/2019
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