| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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