Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | P.07795 | OH |
Y | 103TC0700X | Clinical Psychologist | P.07795 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | P.07795 | OH |
N | 103G00000X | Clinical Psychologist | P.07795 | OH |
N | 103TC0700X | Clinical Psychologist | P.07795 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | P.07795 | OH |
N | 103TP2701X | Group Psychotherapist | P.07795 | OH |
N | 103TR0400X | Rehabilitation Psychologist | P.07795 | OH |
NPI | 1043612286 |
---|---|
Provider Name | Dr. Thomas Anthony Duda |
First Address | Dayton, OH 45404-1873 |
Second Address | Dayton, OH 45404-1873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2014 |
Last Update Date | 19/09/2018 |