Individual
BRUCE L LADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 E APPLE ST, SUITE 6255, DAYTON, OH 45409-2939
(937) 208-4452
(937) 208-3893
Mailing address
30 E APPLE ST, SUITE 6255, DAYTON, OH 45409-2939
(937) 208-4452
(937) 208-3893
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
4850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0981497
—
OH
01
—
31053750400
BWC PSYCHOLOGIST
ND
05
—
5935608
—
OH
Enumeration date
10/04/2006
Last updated
08/13/2014
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