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Individual

DR. SUSAN K KAHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
(574) 546-1999
Mailing address
550 N MAIN ST UNIT B, SPRINGBORO, OH 45066-7520
(937) 901-3122
(937) 748-8206

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
5806
OH
103TC0700X
Clinical Psychologist
Primary
PY10906
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1015229
WORKERS COMP
OH
05
2310841
OH
01
CP25725
MEDICARE PTAN
OH
Enumeration date
08/21/2006
Last updated
02/04/2026
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