Individual
DORY SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 722-4700
(614) 722-4718
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4700
(614) 722-4718
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139799
—
OH
Enumeration date
11/04/2009
Last updated
11/10/2015
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