NICHOLAS A DONINGER PH.D

Clinical Neuropsychologist

Kettering, Ohio

Provider NPI: 1134100761

Provider Information:
 NICHOLAS A DONINGER PH.D
Gender: M
Not Sole Proprietor

Practice Location:
3533 SOUTHERN BLVD SUITE 5200 KETTERING, OH 45429 US
Tel: 937-395-8043  Fax: 937-395-8139

Business Mailing Address:
1 PRESTIGE PLACE SUITE 550 MIAMISBURG, OH 45342 US
Tel: 937-762-1310  Fax: 937-522-8493

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	OH	6061
N	103TC0700X	Behavioral Health & Social Service Providers Psychologist	OH	6061

Other Provider Identifiers:

Issuer	Number	State	Type
MEDICARE RR	P00299273	OH	01
	2523782	OH	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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