Organization
LIFE PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY DEREMO PSYD (OWNER)
(937) 815-7208
Entity
Organization
Contact information
Practice address
10552 SUCCESS LN STE E, DAYTON, OH 45458-3664
(937) 815-7208
(855) 251-5211
Mailing address
10552 SUCCESS LN STE E, DAYTON, OH 45458-3664
(937) 815-7208
(855) 251-5211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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