| NPI | 1225444896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L DAVIS Owner/Psychologist 419-535-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5048) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |