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Individual

PROF. WESLEY ALLEN BULLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2801 W BANCROFT ST, UNIVERSITY OF TOLEDO, DEPT. OF PSYCHOLOGY # 948, TOLEDO, OH 43606-3328
(419) 530-2721
(419) 530-8479
Mailing address
2801 W BANCROFT ST, UNIVERSITY OF TOLEDO, DEPT. OF PSYCHOLOGY # 948, TOLEDO, OH 43606-3328
(419) 530-2721
(419) 530-8479

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3856
OH

Other

Enumeration date
03/15/2007
Last updated
08/14/2012
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