Individual
GEORGE R JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8075 WASHINGTON VILLAGE DR STE 1, DAYTON, OH 45458-1847
(513) 241-2370
(513) 241-6053
Mailing address
4805 MONTGOMERY RD STE 150, CINCINNATI, OH 45212-2280
(513) 936-5358
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2807654
—
OH
05
—
7100527770
—
KY
Enumeration date
08/09/2007
Last updated
11/14/2024
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