Individual
KENNETH JAY KARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1302 CENTER DR, WOOSTER, OH 44691-4510
(330) 345-5465
Mailing address
1302 CENTER DR, WOOSTER, OH 44691-4510
(330) 345-5465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2147
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312487
—
OH
Enumeration date
07/28/2006
Last updated
08/23/2021
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