Individual
DR. THOMAS JOSEPH DUBRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4301 STATE ROUTE 725, SUITE B, BELLBROOK, OH 45305-1552
(937) 848-9858
(937) 848-2080
Mailing address
2007 AVON DRIVE, BEAVERCREEK, OH 45431-3301
(937) 320-1903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257883
ANTHEM BC AND BS
OH
Enumeration date
04/17/2007
Last updated
07/08/2007
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