Wander, Marilyn R

Wander, Marilyn R is an sole proprietor health care provider with primary practice located at 3253 N Bend Rd , Cincinnati OH 45239-7610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wander, Marilyn R can be contacted via phone (513) 622-9900.

Contact Information

Primary practice address
3253 N Bend Rd Cincinnati OH 45239-7610
Phone: (513) 622-9900
Fax: (513) 622-9902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5564 Ohio
Behavioral Health & Social Service Providers / Health Service 103TH0100X 5564 Ohio

Profile Details

NPI number 1992771679
LBN Legal business name Wander, Marilyn R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Aug 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992771679 NPPES
Ohio Other 87726 UBH
Ohio Other 45020-0001 UBH
Ohio MEDICAID 2267792 UBH

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