Stephanie A Cerullo, | |
6942 Tylersville Rd, West Chester, OH 45069-1511 | |
(513) 868-0055 | |
Not Available |
Full Name | Stephanie A Cerullo |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6942 Tylersville Rd, West Chester, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558844290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2404854 (Ohio) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Entity Name | Modern Psychiatry And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225260888 PECOS PAC ID: 6608029962 Enrollment ID: O20130117000157 |
Mailing Address | Practice Location Address |
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Stephanie A Cerullo, 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 Ph: (513) 795-7557 | Stephanie A Cerullo, 6942 Tylersville Rd, West Chester, OH 45069-1511 Ph: (513) 868-0055 |
Alex Clarke Rouff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6942 Tylersville Rd, West Chester, OH 45069 Phone: 513-868-0055 | |
Mrs. Mary Lynnette Hamlet, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7799 Joan Dr, West Chester, OH 45069 Phone: 513-318-1634 | |
Gina Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8809b Cincinnati Dayton Rd, West Chester, OH 45069 Phone: 513-519-2955 | |
Christy Pulsford, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8050 Beckett Center Dr Ste 314, West Chester, OH 45069 Phone: 513-204-5746 | |
Charles Ryan Bussard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8899 Brookside Ave Ste 102, West Chester, OH 45069 Phone: 513-759-9744 | |
Betsy Lauren Petitjean, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8809b Cincinnati Dayton Rd, West Chester, OH 45069 Phone: 513-237-0332 | |
Granville Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7593 Tylers Place Blvd, West Chester, OH 45069 Phone: 513-644-2277 |