| Kettering Weight Loss | |
|
1956 E Whipp Rd Kettering OH 45440-2921 | |
| (937) 384-3896 | |
| Not Available |
| Full Name | Kettering Weight Loss |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1956 E Whipp Rd, Kettering, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Weight Loss 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Kettering Weight Loss 1956 E Whipp Rd Kettering OH 45440-2921 Ph: (937) 384-3896 |
| NPI Number | 1366723090 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366723090 | NPI | - | NPPES |
| 2712872 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (NU) | Primary |
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