Provider Demographics
NPI:1477653343
Name:LAHNIERS, CARROLL EDWARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARROLL
Middle Name:EDWARD
Last Name:LAHNIERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 IDA STREET
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1525
Mailing Address - Country:US
Mailing Address - Phone:513-241-8919
Mailing Address - Fax:513-241-8918
Practice Address - Street 1:1247 IDA STREET
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1525
Practice Address - Country:US
Practice Address - Phone:513-241-8919
Practice Address - Fax:513-241-8918
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH547103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLACP03211Medicare ID - Type Unspecified