Provider Demographics
NPI:1912250689
Name:MURTHI, MEERA (DR, PHD, PSYCHOLOG)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:
Last Name:MURTHI
Suffix:
Gender:F
Credentials:DR, PHD, PSYCHOLOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 MADISON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1332
Mailing Address - Country:US
Mailing Address - Phone:513-772-9300
Mailing Address - Fax:513-772-9302
Practice Address - Street 1:2650 MADISON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1332
Practice Address - Country:US
Practice Address - Phone:513-772-9300
Practice Address - Fax:513-772-9302
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6740103T00000X
NY018781103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NOT APPLICABLEOtherNOT APPLICABLE