| Defiance Regional Psychiatric Service | |
|
1250 Ralston Ave Suite 105 Defiance OH 43512-5311 | |
| (419) 783-6805 | |
| (419) 783-6804 |
| Full Name | Defiance Regional Psychiatric Service |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1250 Ralston Ave, Defiance, Ohio |
| Authorized Official Name and Position | Jeanne M Peffley (OFFICE MANAGER) |
| Authorized Official Contact | 4197836805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defiance Regional Psychiatric Service 1250 Ralston Ave Suite 105 Defiance OH 43512-5311 Ph: (419) 783-6805 | Defiance Regional Psychiatric Service 1250 Ralston Ave Suite 105 Defiance OH 43512-5311 Ph: (419) 783-6805 |
| NPI Number | 1083713770 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083713770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0004427 (Ohio) | Primary |
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