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Search › Ohio › 1041C0700X

Barry Wideman, LISW

NPI 1518111913 · on the registry since 2008

Practice

Address
4100 W 3rd St
Dayton, OH 45428
Phone
(937) 268-6511
Fax
(937) 267-3924
Organisation at this address
Vamc
Dayton Vamc
Dayton Vamc
Veteran'S Administration
Dayton Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
520

Additional practice sites

  • 1251 Nilles Rd Ste 5, Fairfield, OH

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio