Provider Demographics
NPI:1912187337
Name:ROHAN, KATHLEEN T (PC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:T
Last Name:ROHAN
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BRADY CIR E APT 1
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1472
Mailing Address - Country:US
Mailing Address - Phone:740-424-2540
Mailing Address - Fax:
Practice Address - Street 1:104 1/2 N MARIETTA ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1218
Practice Address - Country:US
Practice Address - Phone:740-695-5441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0600557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional