Provider Demographics
NPI:1336940915
Name:TURNER, WEDA (WT)
Entity type:Individual
Prefix:
First Name:WEDA
Middle Name:
Last Name:TURNER
Suffix:
Gender:
Credentials:WT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 BAKER AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-8132
Mailing Address - Country:US
Mailing Address - Phone:513-383-2604
Mailing Address - Fax:
Practice Address - Street 1:2721 BAKER AVE APT 18
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-8132
Practice Address - Country:US
Practice Address - Phone:513-383-2604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH000000101YP2500X, 101200000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant