Ross, Gloria J

Ross, Gloria J is an individual health care provider with primary practice located at 111 Harbert Dr , Dayton OH 45440-5117. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ross, Gloria J can be contacted via phone (937) 208-7575.

Contact Information

Primary practice address
111 Harbert Dr Dayton OH 45440-5117
Fax: (937) 208-7590
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X OHIO4727 Ohio

Profile Details

NPI number 1386608685
LBN Legal business name Ross, Gloria J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386608685 NPPES
Ohio MEDICAID 0990629

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