| C Jesse Carlock Ph D & Associates | |
|
1105 Watervliet Ave Dayton OH 45420 | |
| (937) 256-0500 | |
| (937) 256-2136 |
| Full Name | C Jesse Carlock Ph D & Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1105 Watervliet Ave, Dayton, Ohio |
| Authorized Official Name and Position | Charlene Jesse Carlock (OWNER /PSYCHOLOGIST) |
| Authorized Official Contact | 9372560500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Jesse Carlock Ph D & Associates 1105 Watervliet Ave Dayton OH 45420 Ph: (937) 256-0500 | C Jesse Carlock Ph D & Associates 1105 Watervliet Ave Dayton OH 45420 Ph: (937) 256-0500 |
| NPI Number | 1801994199 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801994199 | NPI | - | NPPES |
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