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Square North Practice
Clinical Psychologist in Bryan, Ohio
NPI 1720583776

Square North Practice is a Clinical Psychologist based in Bryan, OH and is specialized in Clinical. Square North Practice practices in Bryan, OH. The NPI Number for Square North Practice is 1720583776 and holds a License No. 6910 (Ohio).

The current practice location address for Square North Practice is 126 N Main St, Bryan, OH and can be reached out via phone at 419-630-5430 and via fax at 419-754-2215.

Location: 126 N Main St, Bryan, OH, 43506-1316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720583776
Provider Name
Square North Practice
Credential
Provider Entity Type
Organization
Address
126 N Main St, Bryan, OH, 43506-1316
Phone Number
419-630-5430
Fax Number
419-754-2215
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0065271 05 OH
institution
Provider Business Practice Location Address Details
Address
126 N Main St
City
Bryan
State
Ohio
Zip
43506-1316
Phone Number
419-630-5430
Fax Number
419-754-2215
person
Provider Business Mailing Address Details
Address
126 N Main St
City
Bryan
State
Ohio
Zip
43506-1316
Phone Number
419-630-5430
Fax Number
419-754-2215
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6910 (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.
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