Individual
DR. OLIVIA DANIELLE MANDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
140 W MAIN ST, WILMINGTON, OH 45177-2239
(937) 481-2930
(937) 382-4717
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08793
OH
103TC0700X
Clinical Psychologist
Primary
1320
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131028
—
OH
Enumeration date
05/21/2020
Last updated
02/13/2026
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