Brumback, Ty

Brumback, Ty is an sole proprietor health care provider with primary practice located at 3380 Erie Ave Ste 202 , Cincinnati OH 45208-1626. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Brumback, Ty can be contacted via phone (513) 400-5905.

Contact Information

Primary practice address
3380 Erie Ave Ste 202 Cincinnati OH 45208-1626
Phone: (513) 400-5905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P.08007 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X P.08007 Ohio
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X P.08007 Ohio
Behavioral Health & Social Service Providers / Health Service 103TH0100X P.08007 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.08007 Ohio

Profile Details

NPI number 1316566474
LBN Legal business name Brumback, Ty
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2020
Last updated Apr 9th, 2020 - about 5 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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