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FEVEN ASRESEHEI OGBASELASE-BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-5072
(937) 641-6129
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P.08894
OH
103TC0700X
Clinical Psychologist
P.08894
OH

Other

Enumeration date
10/17/2019
Last updated
12/01/2025
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