Individual
DOUGLAS MUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
(330) 856-1581
Mailing address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
(330) 856-1581
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
RJ948942
OH
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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