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Organization

BRUCE E. KLINE PSYD & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA A KANIUGA MS, LPCC (BILLING)
(937) 426-2686
Entity
Organization

Contact information

Practice address
1411 N FAIRFIELD RD STE B, BEAVERCREEK, OH 45432-2683
(937) 426-2686
(937) 429-3423
Mailing address
1411 N FAIRFIELD RD STE B, BEAVERCREEK, OH 45432-2683
(937) 426-2686
(937) 429-3423

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
04/20/2007
Last updated
09/11/2025
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