Organization
DR. PAUL A. DEARDORFF, INC
Active
Other names
ForPsych
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEISGANG (ASSOCIATE DIRECTOR)
(513) 871-7285
Entity
Organization
Contact information
Practice address
4217 SMITH RD, NORWOOD, OH 45212-4107
(513) 871-7285
Mailing address
4217 SMITH RD, NORWOOD, OH 45212-4107
(513) 871-7285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6165
OH
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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