Individual
ANTOINETTE S CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
342 ALLEN ST, YELLOW SPRINGS, OH 45387-1306
(937) 776-2836
Mailing address
342 ALLEN ST, YELLOW SPRINGS, OH 45387-1306
(937) 776-2836
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356065
—
OH
Enumeration date
01/09/2007
Last updated
11/11/2020
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