Clinical Psychological Services, Llc

NPI 1174964662 - Psychologist - 103TC0700X

NPI Details
NPI 1174964662
Enumeration Date 07/11/2013
Last Updated 07/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LORENA LORENA
Position CLINICAL PSYCHOLOGIST
Phone (937) 750-0294
Fax (937) 401-0370
Practice Location
1020 WOODMAN DR
SUITE 300
DAYTON OH, 45432-1446, US
Phone (937) 750-0294
Fax (937) 401-0370
Business Location
246 WILTSHIRE BLVD
DAYTON OH, 45419-2634, US
Phone (937) 546-7622
Fax (937) 401-0370
Toxanomy
Taxonomy Code 103TC0700X
License State Ohio
License Number 6215
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According to our database, Clinical Psychological Services, Llc NPI is 1174964662, taxonomy code is 103TC0700X and license number is 6215, license state is located at Ohio. Clinical Psychological Services, Llc physically located at 1020 Woodman Dr, Dayton OH, 45432-1446. NPI Number 1033115704 has the healthcare provider type.

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1174964662 NPI number is provided on an as is basis without warranty of any kind. 1174964662 is maintained by the National Plan & Provider Enumeration System. The contents of Clinical Psychological Services, Llc are for informational purposes only.