Individual
JOHN REGIS MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
145 MORRIS RD, CIRCLEVILLE, OH 43113-1363
(740) 474-8874
Mailing address
23 COVENTRY LN, ATHENS, OH 45701-3718
(740) 592-4588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
402
OH
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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