| NPI | 1780715334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W HULL Partner 419-999-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |