| Dong S. Moon,m.d.,inc. | |
| 
					6728 Loop Rd Suite 201 Centerville Finance OH 45459-2196  | |
| (937) 434-6131 | |
| (937) 434-8909 | 
| Full Name | Dong S. Moon,m.d.,inc. | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 6728 Loop Rd, Centerville Finance, Ohio | 
| Authorized Official Name and Position | Dong S Moon (PRESIDENT) | 
| Authorized Official Contact | 9374346131 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dong S. Moon,m.d.,inc. 6728 Loop Rd Suite 201 Centerville Finance OH 45459-2196 Ph: (937) 434-6131  | Dong S. Moon,m.d.,inc. 6728 Loop Rd Suite 201 Centerville Finance OH 45459-2196 Ph: (937) 434-6131  | 
| NPI Number | 1134271752 | 
|---|---|
| Provider Enumeration Date | 01/16/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134271752 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35041821 (Ohio) | Primary | 
Life Development Centers, Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7071 Corporate Way, Suite 104, Centerville Finance, OH 45459 Phone: 937-434-2100 Fax: 937-439-3747  | |
Ellen Kubay Adkins Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 W Elmwood Dr, 116, Centerville Finance, OH 45459 Phone: 937-433-4430  |