Individual
DR. RICHARD JAY GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2450 KIPLING AVE, SUITE 100, CINCINNATI, OH 45239-6600
(513) 542-4177
(513) 542-9222
Mailing address
4111 SPRINGROCK DR, CINCINNATI, OH 45251-1931
(513) 385-3761
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2620
OH
103TC0700X
Clinical Psychologist
298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0936812
—
OH
Enumeration date
12/19/2006
Last updated
07/08/2007
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