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Contact Information

TERI L CAUDILL, PSY.D.
3333 BURNET AVE
ML 3015
CINCINNATI, OH45229-3026
 Phone: 513-636-4336
 Fax: 513-636-3677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TERI L CAUDILL · (Female)

NPI # 1164514212
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 09/28/2006
Last updated 02/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1252
  • OH License # 7026
  • OH License # P.7026
  • KY Other 000000325414 ANTHEM BC/BS NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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