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Individual

MICHELE M BABB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1690 WOODLAND DRIVE, #200 CLINICAL PSYCHOLOGIST, MAUMEE, OH 43537
(419) 897-7950
(419) 897-7984
Mailing address
1690 WOODLAND DRIVE, #200 CLINICAL PSYCHOLOGIST, MAUMEE, OH 43537
(419) 897-7950
(419) 897-7984

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP0932
MN
103T00000X
Psychologist
Primary
P6052
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000389994
ANTHEM
OH
01
06732
PARAMOUNT
OH
Enumeration date
04/12/2006
Last updated
06/05/2008
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