Provider Demographics
NPI:1568514230
Name:SELL-SMITH, JULIE ANN (MSW, LISW-S, PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:SELL-SMITH
Suffix:
Gender:F
Credentials:MSW, LISW-S, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 DORGENE LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-5008
Mailing Address - Country:US
Mailing Address - Phone:513-544-0312
Mailing Address - Fax:
Practice Address - Street 1:778 CINCINNATI BATAVIA PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1213
Practice Address - Country:US
Practice Address - Phone:513-536-6228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.07717103TC0700X, 103T00000X
OHI-06000371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical