Mr. Dieago Ellis Burress Jr.
Mr. Dieago Ellis Burress Jr. is a Drama Therapist in Huber Heights, Ohio. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5784 Fisher Dr Apt BHuber Heights, OH 45424-5576
Phone: (937) 312-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X |
|---|---|
| Drama Therapist | Taxonomy 101200000X |
Record details
| NPI number | 1578348926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 25, 2023 |
| Last updated in NPPES | August 25, 2023 |
| Certification date | August 24, 2023 |