Organization
BEHAVIORAL CONNECTIONS OF WOOD COUNTY
Active
Organization
BEHAVIORAL CONNECTIONS OF WOOD COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GOLDBERG PH.D. (CHIEF EXECUTIVE OFFICER)
(419) 352-5387
Entity
Organization
Contact information
Practice address
320 W GYPSY LANE RD, BOWLING GREEN, OH 43402-4572
(419) 352-5387
Mailing address
320 W GYPSY LANE RD, BOWLING GREEN, OH 43402-4572
(419) 352-5387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S28711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29968067400
OHIO BWC
OH
Enumeration date
01/31/2008
Last updated
01/31/2008
Update your record
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