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Contact Information

CHAD D. VICKERY, PH.D., LLC
7654 MONTGOMERY RD
CINCINNATI, OH45236-4204
 Phone: 513-791-8849
 Fax: 513-791-8873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHAD D. VICKERY, PH.D., LLC

NPI # 1861807927
LBN Legal business name CHAD D. VICKERY, PH.D., LLC
Authorized official CHAD VICKERY - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2014
Last updated 06/27/2014 - About 12 years ago
Identifiers
OH License # 6807
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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