Organization
NEUROPSYCHOLOGY SERVICES OF SOUTHWEST OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS DONINGER PHD (OWNER)
(847) 421-6323
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 424-8306
(937) 222-7726
Mailing address
4954 WALNUT WALK, KETTERING, OH 45429-1936
(847) 421-6323
(937) 395-8139
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094672
—
OH
Enumeration date
11/11/2013
Last updated
02/05/2014
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