Individual
BLANCHE L DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3591 RESERVE COMMONS DR, STE 301, MEDINA, OH 44256-5334
(330) 764-7916
(330) 723-6399
Mailing address
3591 RESERVE COMMONS DR, STE 301, MEDINA, OH 44256-5334
(330) 764-7916
(330) 723-6399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3858
OH
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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