Individual provider · Type 1 NPI
Thomas L. South, PhD
Psychiatric Hospital · Dayton, OH
NPI number
1699863779
Active
Practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Fax (937) 258-6203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Hospital Primary | 283Q00000X | 4117 (OH) |
Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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About NPI 1699863779
Thomas L. South, PhD's National Provider Identifier is 1699863779, issued on Oct 11, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.