| Doctor Name: | DAVID W DRAKE |
| NPI Number: | 1144266818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 4862-OH |
| Business Practice Address: | 90 Remick Blvd Springboro, OH - 450669168 |
| Business Phone Number: | 9378859474 |
| Business Fax Number: | 9378859479 |
| Mailing Address: | 90 Remick Blvd, SPRINGBORO |
| State: | OH |
| Postal Code: | 450669168 |
| Phone Number: | 9378859474 |
| Fax Number: | 9378859479 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 11/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4862-OH |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |