Provider Demographics
NPI:1487760005
Name:BARASCH, DONNA ZIMMERMAN (MA LPCC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ZIMMERMAN
Last Name:BARASCH
Suffix:
Gender:F
Credentials:MA LPCC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:SUE
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LPCC
Mailing Address - Street 1:9900 CINCINNATI COLUMBUS ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-1209
Mailing Address - Country:US
Mailing Address - Phone:513-779-9955
Mailing Address - Fax:513-779-9955
Practice Address - Street 1:9900 CINCINNATI COLUMBUS ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-1209
Practice Address - Country:US
Practice Address - Phone:513-779-9955
Practice Address - Fax:513-779-9955
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000852103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000222122OtherANTHEM
024750OtherVMC
1218030OtherCHA
505826OtherVALUE OPTIONS
307555OtherMHN
026935000OtherMAGELLAN