Organization
FORT MEIGS PSYCHOLOGICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A. VAN KLEY PHD (PRESIDENT)
(419) 874-8257
Entity
Organization
Contact information
Practice address
975 COMMERCE DR, PERRYSBURG, OH 43551-5228
(419) 874-8257
(419) 874-9960
Mailing address
975 COMMERCE DR, PERRYSBURG, OH 43551-5228
(419) 874-8257
(419) 874-9960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4836
OH
104100000X
Social Worker
I0002078
OH
Other
Enumeration date
01/03/2007
Last updated
09/23/2009
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