Individual
ANTHONY TEASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3640 COLONEL GLENN HWY, WSU, 053 SU, DAYTON, OH 45435-0001
(937) 775-3407
(937) 775-3421
Mailing address
3640 COLONEL GLENN HWY, WSU, 053 SU, DAYTON, OH 45435-0001
(937) 775-3407
(937) 775-3421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6630
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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