Individual
REBECCA GAYLE KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ED. S.
Contact information
Practice address
2114 COCKRELLS RUN RD, LUCASVILLE, OH 45648-8833
(740) 285-6778
(740) 259-2337
Mailing address
2114 COCKRELLS RUN RD, LUCASVILLE, OH 45648-8833
(740) 285-6778
(740) 259-2337
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OHI375410
OH
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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