| Kent Eichenauer, Psyd, Llc | |
|
205 E Palmer Rd Bellefontaine OH 43311-2281 | |
| (937) 206-6500 | |
| Not Available |
| Full Name | Kent Eichenauer, Psyd, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 205 E Palmer Rd, Bellefontaine, Ohio |
| Authorized Official Name and Position | Kent Alan Eichenauer (OWNER) |
| Authorized Official Contact | 9372066500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Eichenauer, Psyd, Llc Po Box 104 Urbana OH 43078-0104 Ph: (937) 206-6500 | Kent Eichenauer, Psyd, Llc 205 E Palmer Rd Bellefontaine OH 43311-2281 Ph: (937) 206-6500 |
| NPI Number | 1629783907 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629783907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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