| Associated Bay Area Counselors, Inc. | |
|
1319 Hull Rd Sandusky OH 44870-6062 | |
| (419) 625-1686 | |
| (419) 433-9286 |
| Full Name | Associated Bay Area Counselors, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1319 Hull Rd, Sandusky, Ohio |
| Authorized Official Name and Position | Richard Paulsen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4196251686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Bay Area Counselors, Inc. 1319 Hull Rd Sandusky OH 44870-6062 Ph: (419) 625-1686 | Associated Bay Area Counselors, Inc. 1319 Hull Rd Sandusky OH 44870-6062 Ph: (419) 625-1686 |
| NPI Number | 1184894099 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 5294978722 |
|---|---|
| Medicare Enrollment ID | O20130830000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184894099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4103 (Ohio) | Primary |
| Provider Name | Richard A Paulsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124141502 PECOS PAC ID: 2264675701 Enrollment ID: I20131219001952 |
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