Provider Demographics
NPI:1033120092
Name:HRINKO, DANIEL DEAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DEAN
Last Name:HRINKO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 TROY RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-4463
Mailing Address - Country:US
Mailing Address - Phone:937-342-9661
Mailing Address - Fax:937-342-4776
Practice Address - Street 1:3637 TROY RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-4463
Practice Address - Country:US
Practice Address - Phone:937-342-9661
Practice Address - Fax:937-342-4776
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5022103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic