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DR. DAWN E BOUMAN PHD

Clinical Neuropsychologist

Cincinnati, Ohio

Provider NPI: 1659400588

Provider Information:
DR. DAWN E BOUMAN PHD
Gender: F
Not Sole Proprietor

Practice Location:
151 W GALBRAITH RD  CINCINNATI, OH 45216 US
Tel: 513-418-2500  Fax: 513-418-2516

Business Mailing Address:
PO BOX 636256 CENTRAL CREDENTIALING CINCINNATI, OH 45263 US
Tel: 513-585-5504  Fax: 513-585-5511

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH4739
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
OH4739
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
OH4739

Other Provider Identifiers:

IssuerNumberStateType
0961786OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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