Individual
THOMAS P KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
335 BUCKEYE BLVD, PORT CLINTON, OH 43452-1423
(419) 734-2942
Mailing address
535 S PARK AVE, FREMONT, OH 43420-3421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
62002015
OH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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