Robert Nathan Ilagan, GRADUATE STUDENT

NPI #1194330035 in Moraine, Ohio

Provider Information

NPI Number: 1194330035
Entity Type: Individual
Name: Robert Nathan Ilagan, GRADUATE STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: GRADUATE STUDENT
Enumeration Date: Sep 8, 2020
Last Updated: Jun 5, 2024

Practice Location

Address: 3095 KETTERING BLVD
City: Moraine
State: Ohio
ZIP Code: 45439
Phone: (937) 293-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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