Individual
CHARLES D DOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-7972
(937) 766-9225
Mailing address
9076 CHILLICOTHE RD, CEDARVILLE, OH 45314-9632
(937) 766-7972
(937) 766-9225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3234
OH
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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