Most Relevant Information
Provider Data
| NPI Number: | 1003241001 |
| Provider Name: | ELAINE WILLERTON PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | M1200003 |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 04/29/2014 |
Provider Practice Location
1080 NIMITZVIEW DR
STE 303
CINCINNATI
OH
452304314
Practice Location Phone/Fax
| Phone: | 5137205642 |
| Fax: |
Provider Mailing Location
1080 NIMITZVIEW DR
STE 303
CINCINNATI
OH
452304314
Provider Mailing Phone/Fax
| Phone: | 5137205642 |
| Fax: |