Provider Demographics
NPI:1013037589
Name:VONERDEN, JEANNE MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:MARIE
Last Name:VONERDEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 888
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45071-0888
Mailing Address - Country:US
Mailing Address - Phone:513-588-0777
Mailing Address - Fax:513-759-5094
Practice Address - Street 1:5750 GATEWAY
Practice Address - Street 2:STE. 203
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1894
Practice Address - Country:US
Practice Address - Phone:513-588-0777
Practice Address - Fax:513-759-5094
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5216103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical