Provider Demographics
NPI:1497136394
Name:FREY, ROBERT (PMHNP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:FREY
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-2621
Mailing Address - Country:US
Mailing Address - Phone:513-948-3721
Mailing Address - Fax:513-948-8631
Practice Address - Street 1:2233 WHEELER ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1219
Practice Address - Country:US
Practice Address - Phone:513-313-3737
Practice Address - Fax:513-241-4307
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 115616-NP363LP0808X
OHRN 267061-1363LP0808X
OHCTP 15616-EX1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health