Provider Demographics
NPI:1467768713
Name:VEGH, JEANNINE (IMFT)
Entity Type:Individual
Prefix:MS
First Name:JEANNINE
Middle Name:
Last Name:VEGH
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 OAKSTONE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7614
Mailing Address - Country:US
Mailing Address - Phone:614-813-7677
Mailing Address - Fax:
Practice Address - Street 1:2572 OAKSTONE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-7614
Practice Address - Country:US
Practice Address - Phone:614-813-7677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF1000006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH12215894OtherCAQH