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Contact Information

BOWLING GREEN STATE UNIVERSITY
822 E MERRY STREET BOWLING GREEN STATE UNIVERSITY
300 PSYCHOLOGY BUILDING
BOWLING GREEN, OH43403
 Phone: 419-372-2540
 Fax: 419-372-2533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BOWLING GREEN STATE UNIVERSITY · (Female)

NPI # 1083921787
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2010
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 6697
  • OH Medicaid 0747240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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