Individual
DR. HY PHILIP KISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4930 HOLLAND SYLVANIA RD, SYLVANIA, OH 43560
(419) 885-5636
(419) 885-1080
Mailing address
4930 HOLLAND SYLVANIA RD, SYLVANIA, OH 43560
(419) 885-5636
(419) 885-1080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417767
—
OH
Enumeration date
11/08/2006
Last updated
07/08/2007
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