Provider Demographics
NPI:1003903485
Name:NEMANN, MOLLY W (EDD LICENSED PSYCHOL)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:W
Last Name:NEMANN
Suffix:
Gender:F
Credentials:EDD LICENSED PSYCHOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 WALNUT VIEW COURT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230
Mailing Address - Country:US
Mailing Address - Phone:513-233-3998
Mailing Address - Fax:513-233-3998
Practice Address - Street 1:2480 WALNUT VIEW COURT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230
Practice Address - Country:US
Practice Address - Phone:513-233-3998
Practice Address - Fax:513-233-3998
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4171103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECP00962Medicare ID - Type Unspecified
R81159Medicare UPIN