Provider Demographics
NPI:1659442390
Name:WARSHAUER, MIRIAM P (LISW)
Entity Type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:P
Last Name:WARSHAUER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 MADISON RD
Mailing Address - Street 2:109
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1256
Mailing Address - Country:US
Mailing Address - Phone:513-924-0021
Mailing Address - Fax:513-924-9001
Practice Address - Street 1:2444 MADISON RD
Practice Address - Street 2:109
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1256
Practice Address - Country:US
Practice Address - Phone:513-924-0021
Practice Address - Fax:513-924-9001
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-1069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health