Provider Demographics
NPI:1891768503
Name:FLUHART, CAROLYN VALERIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:VALERIE
Last Name:FLUHART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2903 STATE ROUTE 232
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-8220
Mailing Address - Country:US
Mailing Address - Phone:513-734-1876
Mailing Address - Fax:513-734-1876
Practice Address - Street 1:1324 STATE ROUTE 125
Practice Address - Street 2:STE 202
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-0015
Practice Address - Country:US
Practice Address - Phone:513-981-7363
Practice Address - Fax:513-779-9209
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-12
Last Update Date:2016-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5324103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5324OtherSTATE LICENSE NUMBER
OH000000356759OtherANTHEM BCBS PIN
OH251496OtherPHCS ID NO.
OH11485229OtherCAQH ID
OH272966000OtherMAGELLAN PROVIDER NO.
OH251496OtherCOMPSYCH ID NO.
OH5324OtherSTATE LICENSE NUMBER
OH11485229OtherCAQH ID