| Doctor Name: | DR. DICK A. GENARDI |
| NPI Number: | 1003844739 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2964 |
| Business Practice Address: | 323 Regency Ridge Dr Centerville, OH - 454594252 |
| Business Phone Number: | 9376718630 |
| Business Fax Number: | |
| Mailing Address: | 323 Regency Ridge Dr, CENTERVILLE |
| State: | OH |
| Postal Code: | 454594252 |
| Phone Number: | 9376718630 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 2964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |