Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3086 | OH |
Y | 103T00000X | Psychologist | 3086 | OH |
NPI | 1003949264 |
---|---|
Provider Name | Dr. Richard R Purdy |
First Address | Crescent Springs, KY 41017-5362 |
Second Address | West Chester, OH 45069-7113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |