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Individual

DR. DAVID WYLIE CLINESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9899 DELTONA DRIVE, NEW MIDDLETON, OH 44442-9796
(330) 542-2175
(330) 542-2175
Mailing address
9899 DELTONA DRIVE, NEW MIDDLETON, OH 44442-9796
(330) 542-2175
(330) 542-2175

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1676
OH
103TC0700X
Clinical Psychologist
Primary
1676
OH

Other

Enumeration date
08/21/2006
Last updated
03/03/2011
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