Individual
DR. JANICE IRENE MAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3095 KETTERING BLVD, DAYTON, OH 45439-1921
(937) 643-7097
Mailing address
1425 OLD LANE AVE, APT. 3, KETTERING, OH 45409-1729
(937) 395-9711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3813
OH
Other
Enumeration date
05/05/2007
Last updated
10/22/2012
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