Provider Demographics
NPI:1013241918
Name:SAYRE, MOLLY ERIN MALANY (LSW)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ERIN MALANY
Last Name:SAYRE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 CONGRESS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4485
Mailing Address - Country:US
Mailing Address - Phone:513-858-2000
Mailing Address - Fax:513-858-2888
Practice Address - Street 1:1130 CONGRESS AVE STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4485
Practice Address - Country:US
Practice Address - Phone:513-858-2000
Practice Address - Fax:513-858-2888
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0800683104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker