Provider Demographics
NPI:1518196336
Name:KAUCHER, PENNY F
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:F
Last Name:KAUCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 STANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1350
Mailing Address - Country:US
Mailing Address - Phone:513-404-3281
Mailing Address - Fax:
Practice Address - Street 1:670 ENTERPRISE DR STE C
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9441
Practice Address - Country:US
Practice Address - Phone:513-404-3281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional