Individual
DR. SUE R. DYRENFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
48 E HOLLISTER ST, SUITE 100, CINCINNATI, OH 45219-1704
(513) 236-8045
Mailing address
400 AMAZON AVE, CINCINNATI, OH 45220-1103
(513) 861-6213
(513) 861-0483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4339
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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