Individual
DAVID W DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
90 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 885-9474
(937) 885-9479
Mailing address
90 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 885-9474
(937) 885-9479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4862-OH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382858
—
OH
Enumeration date
06/21/2006
Last updated
11/12/2007
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