Individual
DR. ERIC F DUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
822 EAST MERRY STREET PSYCHOLOGICAL SERVICES CENTER, 300 PSYCHOLOGY BUILDING, BOWLING GREEN STATE UNIVERSITY, BOWLING GREEN, OH 43403-0232
(419) 372-2540
(419) 372-2533
Mailing address
822 EAST MERRY STREET PSYCHOLOGICAL SERVICES CENTER, 300 PSYCHOLOGY BUILDING, BOWLING GREEN STATE UNIVERSITY, BOWLING GREEN, OH 43403-0232
(419) 372-2540
(419) 372-2533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3792
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3792
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705599
—
OH
Enumeration date
04/03/2008
Last updated
04/03/2008
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