Provider Demographics
NPI:1386318574
Name:DORON, JOSIAH (MT-BC)
Entity type:Individual
Prefix:
First Name:JOSIAH
Middle Name:
Last Name:DORON
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5204 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1004
Mailing Address - Country:US
Mailing Address - Phone:513-474-6064
Mailing Address - Fax:513-474-0379
Practice Address - Street 1:5204 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-1004
Practice Address - Country:US
Practice Address - Phone:513-474-6064
Practice Address - Fax:513-474-0379
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist