Provider Demographics
NPI:1811211501
Name:HELLKAMP, DAVID T (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:T
Last Name:HELLKAMP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 RAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1266
Mailing Address - Country:US
Mailing Address - Phone:513-745-1044
Mailing Address - Fax:
Practice Address - Street 1:2089 RAEBURN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1266
Practice Address - Country:US
Practice Address - Phone:513-745-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH638103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical