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Individual

DANIEL W SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2680 WEST MARKET STREET, FAIRLAWN, OH 44333-4215
(234) 867-5001
Mailing address
2680 WEST MARKET STREET, FAIRLAWN, OH 44333-4215
(234) 867-5001

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
1029189-0001
BWC
OH
01
34183030600
WORKERS COMP
OH
Enumeration date
04/20/2006
Last updated
07/13/2026
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