Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | WR1-009335 | OH |
NPI | 1063836153 |
---|---|
Provider Name | Robert Hankey |
First Address | Huber Heights, OH 45424-3700 |
Second Address | Huber Heights, OH 45424-3700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |