Provider Demographics
NPI:1982664710
Name:UNIV OF CINCINNATI PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:UNIV OF CINCINNATI PSYCHOLOGICAL SERVICES
Other - Org Name:UNIVERSITY OF CINCINNATI PSYCHOLOGICAL SERVICES CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-556-0648
Mailing Address - Street 1:316 DYER HALL
Mailing Address - Street 2:UNIVERSITY OF CINCINNATI PSYCHOLOGICAL SERVICES CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45221-0034
Mailing Address - Country:US
Mailing Address - Phone:513-556-0648
Mailing Address - Fax:513-556-2302
Practice Address - Street 1:316 DYER HALL
Practice Address - Street 2:UNIVERSITY OF CINCINNATI PSYCHOLOGICAL SERVICES CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45221-0034
Practice Address - Country:US
Practice Address - Phone:513-556-0648
Practice Address - Fax:513-556-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty