Individual
DR. THERESA RUTH DISERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3831 ATTUCKS DR, STE B, POWELL, OH 43065-6082
(614) 791-0799
(614) 791-0798
Mailing address
3831 ATTUCKS DR, SUITE B, POWELL, OH 43065-6082
(614) 791-0799
(614) 791-0798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4337
OH
Other
Enumeration date
09/16/2006
Last updated
04/20/2017
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