| Neuropsychology Services Of Southwest Ohio, Llc | |
|
1 Elizabeth Pl Dayton OH 45417-3445 | |
| (937) 424-8306 | |
| (937) 222-7726 |
| Full Name | Neuropsychology Services Of Southwest Ohio, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1 Elizabeth Pl, Dayton, Ohio |
| Authorized Official Name and Position | Nicholas Doninger (OWNER) |
| Authorized Official Contact | 8474216323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Services Of Southwest Ohio, Llc 4954 Walnut Walk Kettering OH 45429-1936 Ph: (847) 421-6323 | Neuropsychology Services Of Southwest Ohio, Llc 1 Elizabeth Pl Dayton OH 45417-3445 Ph: (937) 424-8306 |
| NPI Number | 1083043079 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083043079 | NPI | - | NPPES |
| 0094672 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6061 (Ohio) | Primary |
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