Provider Demographics
NPI:1831923705
Name:RAUCH, EMILY (CT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RAUCH
Suffix:
Gender:F
Credentials:CT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CRUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11440 HAMILTON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1180
Mailing Address - Country:US
Mailing Address - Phone:513-648-9596
Mailing Address - Fax:
Practice Address - Street 1:11440 HAMILTON AVE STE 206
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1180
Practice Address - Country:US
Practice Address - Phone:513-648-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health