Provider Demographics
NPI:1700918794
Name:BANKEMPER, AILEEN J (PHD)
Entity Type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:J
Last Name:BANKEMPER
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 1:2500 AMSTERDAM RD
Mailing Address - Street 2:
Mailing Address - City:VILLA HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5316
Mailing Address - Country:US
Mailing Address - Phone:859-331-5471
Mailing Address - Fax:859-331-2136
Practice Address - Street 1:2500 AMSTERDAM RD
Practice Address - Street 2:
Practice Address - City:VILLA HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5316
Practice Address - Country:US
Practice Address - Phone:859-331-5471
Practice Address - Fax:859-331-2136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1127103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist