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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH6061
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
OH6061

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE RRP00299273OH01
2523782OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OH - Page 1



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