Individual
WADE BRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1001 OLIVESBURG RD, MANSFIELD, OH 44905-1228
(419) 526-2100
(419) 521-2822
Mailing address
1001 OLIVESBURG RD, MANSFIELD, OH 44905-1228
(419) 526-2100
(419) 521-2822
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4969
OH
103TC0700X
Clinical Psychologist
Primary
4969
OH
Other
Enumeration date
06/18/2014
Last updated
06/19/2014
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