Organization
PROFESSIONAL PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J KUNA PH.D. (DIRECTOR/OWNER)
(419) 866-1212
Entity
Organization
Contact information
Practice address
5577 AIRPORT HWY, SUITE 201, TOLEDO, OH 43615-7378
(419) 866-1212
(419) 866-4023
Mailing address
5577 AIRPORT HWY, SUITE 201, TOLEDO, OH 43615-7378
(419) 866-1212
(419) 866-4023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503794
ANTHEM BC
OH
05
—
2005332
—
OH
01
—
291263
MHN GROUP NUMBER
OH
01
—
44509020
AETNA GROUP NUMBER
OH
01
—
DE8465
RR MEDICARE
OH
Enumeration date
05/11/2006
Last updated
08/22/2020
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