Provider Demographics
NPI:1033735782
Name:REICHMAN, KATHRYN M (LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:REICHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 OHIO PIKE STE 312
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3629
Mailing Address - Country:US
Mailing Address - Phone:513-770-1705
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE STE 312
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3629
Practice Address - Country:US
Practice Address - Phone:513-770-1705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC2002714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional