Provider Demographics
NPI:1649237553
Name:FLEXMAN, JERRY EUGENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:EUGENE
Last Name:FLEXMAN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:2621 DRYDEN RD THE FLEXMAN MYERS CLINIC
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45439
Mailing Address - Country:US
Mailing Address - Phone:937-256-5300
Mailing Address - Fax:937-258-4162
Practice Address - Street 1:2621 DRYDEN RD.
Practice Address - Street 2:SUITE 202
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45439
Practice Address - Country:US
Practice Address - Phone:937-256-5300
Practice Address - Fax:937-258-4162
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH2375103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0336569Medicaid
OH0336569Medicaid