Individual
DWAYNE TIMOTHY COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6527
OH
Other
Enumeration date
10/05/2007
Last updated
03/12/2009
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