Organization
WESTERN OHIO PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE S ALLEN (OWNER)
(937) 638-5210
Entity
Organization
Contact information
Practice address
110 E POPLAR ST STE 7, SIDNEY, OH 45365-2986
(937) 638-5210
Mailing address
110 E POPLAR ST STE 7, SIDNEY, OH 45365-2986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7027
OH
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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