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Contact Information

LEGACY PSYCHOLOGICAL SERVICES, LLC
7105 HAMILTON AVE
CINCINNATI, OH45231-5218
 Phone: 513-699-9240
 Fax: 513-681-8959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LEGACY PSYCHOLOGICAL SERVICES LLC · (Female)

NPI Number 1346267820
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 09/17/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2922476
  • Other DE6598 RR MEDICARE
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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