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Individual

KATHERINE A MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2621 DRYDEN RD, SUITE 202, DAYTON, OH 45439
(937) 256-5300
Mailing address
2621 DRYDEN RD, SUITE 202, DAYTON, OH 45439
(937) 256-5300

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6105
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000363413
ANTHEM PIN
OH
01
11771519
CAQH #
Enumeration date
05/25/2006
Last updated
09/30/2021
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