Individual
DR. CAROLIN E MISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4532 ROYAL RIDGE WAY, KETTERING, OH 45429-1300
(937) 424-1564
(937) 424-1565
Mailing address
4532 ROYAL RIDGE WAY, KETTERING, OH 45429-1300
(937) 424-1564
(937) 424-1565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031378
ANTHEM BC/BS
OH
05
—
2009463
—
OH
Enumeration date
09/20/2006
Last updated
07/11/2007
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