Individual
DWIGHT DAVID TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(614) 914-6690
(614) 745-3344
Mailing address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(614) 914-6690
(147) 453-3446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6578
OH
103TC1900X
Counseling Psychologist
6578
OH
Other
Enumeration date
03/14/2007
Last updated
01/04/2022
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