Individual
JUDITH ANN PISTILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7061 CORPORATE WAY, SUITE 110, DAYTON, OH 45459-4245
(937) 293-4179
(937) 293-4179
Mailing address
7061 CORPORATE WAY, SUITE 110, DAYTON, OH 45459-4245
(937) 293-4179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2383
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351060
—
OH
Enumeration date
04/06/2006
Last updated
12/08/2014
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