DR. Theresa Ruth Diserio, PH.D.

NPI #1689770505 in Powell, Ohio

Provider Information

NPI Number: 1689770505
Entity Type: Individual
Name: DR. Theresa Ruth Diserio, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Sep 16, 2006
Last Updated: Apr 20, 2017

Practice Location

Address: 3831 ATTUCKS DR
Address 2: STE B
City: Powell
State: Ohio
ZIP Code: 43065-6082
Phone: (614) 791-0799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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