Individual
MR. ERIC ANTHONY GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475186391
—
OH
Enumeration date
08/21/2017
Last updated
07/21/2022
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