Individual
DANIELLE M WALERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 PERIMETER DR, DUBLIN, OH 43017-3247
(614) 355-9580
(614) 355-9589
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
10/06/2016
Last updated
12/07/2018
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