Provider Demographics
NPI:1811922842
Name:CRAIG, BABETTE PLUMMER (PHD)
Entity type:Individual
Prefix:DR
First Name:BABETTE
Middle Name:PLUMMER
Last Name:CRAIG
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 1:2874 WILLOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1162
Mailing Address - Country:US
Mailing Address - Phone:513-861-3100
Mailing Address - Fax:513-475-6411
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:MAIL LOC#116A5
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-475-6368
Practice Address - Fax:513-475-6411
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2960612Medicaid
OHCP34031Medicare PIN