Provider Demographics
NPI:1619741329
Name:POPOVITZ, TERRI L (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:L
Last Name:POPOVITZ
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 SPRINGFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2123
Mailing Address - Country:US
Mailing Address - Phone:513-791-7760
Mailing Address - Fax:513-791-7764
Practice Address - Street 1:1207 SPRINGFIELD PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2123
Practice Address - Country:US
Practice Address - Phone:513-791-7760
Practice Address - Fax:513-791-7764
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035312363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health