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4217 Smith Rd Norwood OH 45212-4107 | |
(513) 871-7285 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 4217 Smith Rd, Norwood, Ohio |
Authorized Official Name and Position | Nicole Leisgang (ASSOCIATE DIRECTOR) |
Authorized Official Contact | 5138717285 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4217 Smith Rd Norwood OH 45212-4107 Ph: (513) 871-7285 | 4217 Smith Rd Norwood OH 45212-4107 Ph: (513) 871-7285 |
NPI Number | 1750704979 |
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Provider Enumeration Date | 01/23/2014 |
Last Update Date | 01/23/2014 |
Identifier | Type | State | Issuer |
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1750704979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6165 (Ohio) | Primary |