Dwight Phinizee, C.D.C.A. 167635

NPI 1578031050 · on the registry since 2018 · sole proprietor

Practice

Address: 30800 Chagrin Blvd
Cleveland, OH 44124
Phone: (216) 591-0324
Fax: (216) 591-1234
Organisation at this address: Willow Glen
New Directions, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 251S00000X
251S00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio