Provider Demographics
NPI:1518584812
Name:DAVIS-WARD, ROCHELLE ANN
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:ANN
Last Name:DAVIS-WARD
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 1:1490 W GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5563
Mailing Address - Country:US
Mailing Address - Phone:513-344-1089
Mailing Address - Fax:
Practice Address - Street 1:1490 W GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5563
Practice Address - Country:US
Practice Address - Phone:513-344-1089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist