Individual
SCOTT T. KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2378 NATIONAL RD, FAIRBORN, OH 45324-2009
(937) 879-7996
Mailing address
2378 NATIONAL RD, FAIRBORN, OH 45324-2009
(937) 879-7996
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5975
OH
103TF0200X
Forensic Psychologist
5975
OH
Other
Enumeration date
03/30/2007
Last updated
06/24/2010
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