Individual
DR. KATHY LYNN ACUS-SOUDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2188 GATEWAY DR, FAIRBORN, OH 45324-6356
(937) 864-7122
(937) 864-1950
Mailing address
7 WHIPPOORWILL CT, ENON, OH 45323-9792
(937) 864-1940
(937) 864-1950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5311
OH
Other
Enumeration date
07/21/2005
Last updated
10/16/2008
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