| Opt | |
|
90 Rhoads Center Dr Centerville OH 45458-3859 | |
| (937) 291-3342 | |
| (937) 999-2467 |
| Full Name | Opt |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 90 Rhoads Center Dr, Centerville, Ohio |
| Authorized Official Name and Position | Brenda Sue Patton (PRESIDENT) |
| Authorized Official Contact | 5132298980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opt 8559 S Mason Montgomery Rd Suite 25 Mason OH 45040-9381 Ph: (513) 229-8980 | Opt 90 Rhoads Center Dr Centerville OH 45458-3859 Ph: (937) 291-3342 |
| NPI Number | 1225424922 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225424922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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