| Modern Psychiatry & Wellness, Llc | |
|
1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 | |
| (513) 795-7557 | |
| (513) 795-7518 |
| Full Name | Modern Psychiatry & Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1910 Fairgrove Ave Ste E, Hamilton, Ohio |
| Authorized Official Name and Position | Susanna Marie Lozano (C.O.O.) |
| Authorized Official Contact | 5132994025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychiatry & Wellness, Llc 1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 Ph: (513) 795-7557 | Modern Psychiatry & Wellness, Llc 1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 Ph: (513) 795-7557 |
| NPI Number | 1699251553 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699251553 | NPI | - | NPPES |
| 0118852 | Medicaid | OH |
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