Individual
KATHRIN KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6557 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9536
(937) 206-3458
Mailing address
4674 HOMINY RIDGE RD, SPRINGFIELD, OH 45502-8031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4949
STATE MEDICAL LICENSE
—
Enumeration date
01/30/2020
Last updated
02/27/2020
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