David Wylie Cliness, PH.D.
Individual provider Active NPI Clinical Psychologist · New Middleton, OH
NPI 1104932615 · NPPES record last updated Mar 3, 2011
Key facts
- NPI
- 1104932615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1676 (OH)
- Practice address
- 9899 Deltona Drive
New Middleton, OH 44442-9796 - Phone
- (330) 542-2175
- Fax
- (330) 542-2175
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Resources, Inc. | Clinical | Current |
Accepting new patients |
Locations
104 S Main St
Munroe Falls, OH 44262
Phone (330) 475-0060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1676 | OH | |
| Clinical Psychologist | 103TC0700X | 1676 | OH | Yes |
Addresses
Primary practice location
9899 Deltona Drive
New Middleton, OH 44442-9796
Mailing address
9899 Deltona Drive
New Middleton, OH 44442-9796
Phone (330) 542-2175
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.