| |
5900 Long Meadow Dr Suite 300 Middletown OH 45005-9687 | |
(937) 478-0749 | |
(513) 727-2539 |
Full Name | |
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Speciality | Psychologist |
Location | 5900 Long Meadow Dr, Middletown, Ohio |
Authorized Official Name and Position | Christopher Danis (CEO/PRESIDENT) |
Authorized Official Contact | 9374998866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5900 Long Meadow Dr Suite 300 Middletown OH 45005-9687 Ph: (937) 478-0749 | 5900 Long Meadow Dr Suite 300 Middletown OH 45005-9687 Ph: (937) 478-0749 |
NPI Number | 1831466986 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 08/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831466986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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