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Mr. Russell W Dern, PHD
Clinical Psychologist in Lebanon, Ohio
NPI 1568438497

Russell W Dern is a Clinical Psychologist based in Lebanon, OH and is specialized in Clinical. Russell W Dern practices in Lebanon, OH and has the professional credentials of PHD. The NPI Number for Russell W Dern is 1568438497 and holds a License No. 3444 (Ohio).

The current practice location address for Russell W Dern is 975 Kingsivew Drive, Lebanon, OH and can be reached out via phone at 513-228-7800 and via fax at 513-228-7846.

Location: 975 Kingsivew Drive, Lebanon, OH, 45036-9600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568438497
Provider Name
Russell W Dern
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
975 Kingsivew Drive, Lebanon, OH, 45036-9600
Phone Number
513-228-7800
Fax Number
513-228-7846
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11489916 01 OH CAQH
0630884 05 OH
000000012343 01 OH ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
975 Kingsivew Drive
City
Lebanon
State
Ohio
Zip
45036-9562
Phone Number
513-228-7800
Fax Number
513-228-7846
person
Provider Business Mailing Address Details
Address
975 Kingsivew Drive
City
Lebanon
State
Ohio
Zip
45036-9562
Phone Number
513-228-7800
Fax Number
513-228-7846
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
3444 (Ohio)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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