Individual
DANIEL W SANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
85 COMMUNITY RD, SUITE F, TALLMADGE, OH 44278-2356
(330) 633-1206
(330) 633-1364
Mailing address
85 COMMUNITY RD, SUITE F, TALLMADGE, OH 44278-2356
(330) 633-1206
(330) 633-1364
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716532
—
OH
01
—
34183030600
WORKERS COMP
OH
Enumeration date
04/20/2006
Last updated
07/09/2007
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