Individual
NIKOU YAZDANBAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420
(937) 258-0440
Mailing address
PO BOX 24812, 4501 POWELL RD, DAYTON, OH 45424
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35100308
OH
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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