Provider Demographics
NPI:1023997624
Name:AMISON, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:AMISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 CYPRESS WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1771
Mailing Address - Country:US
Mailing Address - Phone:513-806-4647
Mailing Address - Fax:
Practice Address - Street 1:2747 CYPRESS WAY APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1771
Practice Address - Country:US
Practice Address - Phone:513-806-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities