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430 South Main Street Urbana OH 43078-2402 | |
| (937) 652-1474 | |
| (937) 652-4700 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 430 South Main Street, Urbana, Ohio |
| Authorized Official Name and Position | Kent A Eichenauer (PARTNER) |
| Authorized Official Contact | 9376521474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
43 West Mccreight Avenue Springfield OH 45504-1813 Ph: (937) 325-2273 | 430 South Main Street Urbana OH 43078-2402 Ph: (937) 652-1474 |
| NPI Number | 1467723031 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467723031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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