Individual
DR. DAVID ALAN CISLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 897-7877
Mailing address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 897-7877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956354
—
OH
Enumeration date
01/01/2006
Last updated
09/02/2020
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