Organization
CHAD D. VICKERY, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD D. VICKERY PH.D. (SOLE OWNER)
(513) 791-8849
Entity
Organization
Contact information
Practice address
7654 MONTGOMERY RD, CINCINNATI, OH 45236-4204
(513) 791-8849
(513) 791-8873
Mailing address
7654 MONTGOMERY RD, CINCINNATI, OH 45236-4204
(513) 791-8849
(513) 791-8873
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6807
OH
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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