Individual provider · NPI-1
Dr. Thomas L South, Ph.D.
Psychiatric Hospital · Dayton, OH
NPI number1699863779
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699863779
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas L South
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | 4117 | OH | Yes |
Practice location
2611 Wayne AveDayton, OH 45420-1833
Phone 937-258-0440 · Fax 937-258-6203
Mailing address
2611 Wayne AveDayton, OH 45420-1833
Phone 937-258-0440 · Fax 937-258-6203
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