Individual
NICHOLAS A DONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 5200, KETTERING, OH 45429-1264
(937) 395-8043
(937) 395-8139
Mailing address
30E APPLE ST 6254, DAYTON, OH 45409-2939
(937) 208-2554
(937) 208-3893
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6061
OH
103TC0700X
Clinical Psychologist
6061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2523782
—
OH
01
—
P00299273
MEDICARE RR
OH
Enumeration date
11/10/2005
Last updated
01/07/2019
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