Healthcare Provider Details

I. General information

NPI: 1710290424
Provider Name (Legal Business Name): AIMEE LOUISE ADRAY DRESCHER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE LOUISE ADRAY PH.D.

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12623 ECKEL JUNCTION RD STE 2600
PERRYSBURG OH
43551-1304
US

IV. Provider business mailing address

1425 STARR AVE
TOLEDO OH
43605-2456
US

V. Phone/Fax

Practice location:
  • Phone: 567-368-1700
  • Fax: 567-368-1478
Mailing address:
  • Phone: 419-936-7738
  • Fax: 419-936-7606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7427
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number23609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: