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Kadian Samantha Miracle
Health Service Psychologist in Granville, Ohio
NPI 1376109892

Kadian Samantha Miracle is a Health Service Psychologist based in Westerville, OH and is specialized in Health Service. Kadian Samantha Miracle practices in Granville, OH. The NPI Number for Kadian Samantha Miracle is 1376109892 and holds a License No. P.7565 (Ohio).

The current practice location address for Kadian Samantha Miracle is 100 West College Street, Granville, OH and can be reached out via phone at 740-274-5792.

Location: 100 West College Street, Granville, OH, 43081-8694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376109892
Provider Name
Kadian Samantha Miracle
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 West College Street, Granville, OH, 43081-8694
Phone Number
740-274-5792
Fax Number
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 West College Street
City
Granville
State
Ohio
Zip
43023
Phone Number
740-274-5792
Fax Number
person
Provider Business Mailing Address Details
Address
100 West College Street
City
Granville
State
Ohio
Zip
43023
Phone Number
740-274-5792
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
P.7565 (Ohio)
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
P.7565 (Ohio)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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