Organization
SQUARE NORTH PRACTICE
Active
Other names
Guess Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN GUESS PHD (CLINICAL PSYCHOLOGIST/OWNER)
(419) 630-5430
Entity
Organization
Contact information
Practice address
126 N MAIN ST, BRYAN, OH 43506-1316
(419) 630-5430
(419) 754-2215
Mailing address
126 N MAIN ST, BRYAN, OH 43506-1316
(419) 630-5430
(419) 754-2215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065271
—
OH
Enumeration date
03/29/2018
Last updated
02/16/2021
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