Search › Ohio › 1041C0700X
Amber Key
NPI 1952752917 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1483 W Main St
Tipp City, OH 45371 - Phone
- (937) 937-3350
- Organisation at this address
- Child And Adolescent Specialty Care Of Dayton Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-18
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