Kathy Acus-Souders, Psy.D., Llc in Fairborn - Clinical
Kathy Acus-Souders, Psy.D., Llc - NPI 1215112214
Kathy Acus-Souders, Psy.D., Llc is a Clinical in Fairborn, Ohio. Kathy Acus-Souders, Psy.D., Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy Acus-Souders, Psy.D., Llc is 1215112214. The last update date is 2008-11-26.
Kathy Acus-Souders, Psy.D., Llc's current location address is 2188 Gateway Dr, Fairborn, Ohio. You can contact this provider via phone number 9378641940 and fax number 9378641950. The mailing address for Kathy Acus-Souders, Psy.D., Llc is 2188 Gateway Dr, Fairborn, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kathy Acus-Souders, Psy.D., Llc |
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Address | 2188 Gateway Dr, Fairborn, Ohio |
Phone Number | 9378641940 |
Fax Number | 9378641950 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINICAL P |
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Authorized Official Name | Acus-Souders Lynn Kathy |
Credentials | PSY.D. |
Telephone Number | 9378641940 |
NPI Number Detail
NPI Number | 1215112214 |
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Provider Enumeration Date | 2008-01-08 |
Last Updated Date | 2008-11-26 |
Provider Mailing Address Detail
Address | 2188 Gateway Dr |
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City | Fairborn |
State | Ohio (OH) |
Post Code | 453246356 |
Phone Number | 9378641940 |
Fax Number | 9378641950 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 5311 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Kathy Acus-Souders, Psy.D., Llc's unique identification number?
The Kathy Acus-Souders, Psy.D., Llc has been assigned the NPI (National Provider Identifier) Number 1215112214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kathy Acus-Souders, Psy.D., Llc located?
The Kathy Acus-Souders, Psy.D., Llc is located at 2188 Gateway Dr, Fairborn, OH 453246356.
What is the area of specialization for Kathy Acus-Souders, Psy.D., Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathy Acus-Souders, Psy.D., Llc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215112214 to Kathy Acus-Souders, Psy.D., Llc?
The Centers for Medicare & Medicaid Services originally issued the 1215112214 to Kathy Acus-Souders, Psy.D., Llc on 2008-01-08.
As of what date were the Kathy Acus-Souders, Psy.D., Llc's details last updated?
The information pertaining to the Kathy Acus-Souders, Psy.D., Llc, including its address, specialty, and other details, was most recently updated on 2008-11-26.