Provider Demographics
NPI:1205846136
Name:GAY, NANCY (PHD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 NORTH CREEK DR
Mailing Address - Street 2:STE 110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2295
Mailing Address - Country:US
Mailing Address - Phone:513-984-2284
Mailing Address - Fax:513-984-2478
Practice Address - Street 1:8220 NORTH CREEK DR
Practice Address - Street 2:STE 110
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2295
Practice Address - Country:US
Practice Address - Phone:513-984-2284
Practice Address - Fax:513-984-2478
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4683103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical