Western Ohio Psychological Services Llc | |
110 E Poplar St Ste. 7 Sidney OH 45365-2985 | |
(937) 638-5210 | |
Not Available |
Full Name | Western Ohio Psychological Services Llc |
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Speciality | Psychologist - Clinical |
Location | 110 E Poplar St, Sidney, Ohio |
Authorized Official Name and Position | Jacqueline Allen (PSYD) |
Authorized Official Contact | 9736385210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Ohio Psychological Services Llc 110 E Poplar St Ste. 7 Sidney OH 45365-2985 Ph: (937) 638-5210 | Western Ohio Psychological Services Llc 110 E Poplar St Ste. 7 Sidney OH 45365-2985 Ph: (937) 638-5210 |
NPI Number | 1578913356 |
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Provider Enumeration Date | 06/13/2016 |
Last Update Date | 08/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578913356 | NPI | - | NPPES |
61000064 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 7027 (Ohio) | Primary |
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