Doctor Name: | MS. JENIFER KLAUSING |
NPI Number: | 1225452402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OH1421787 |
Business Practice Address: | 205 Nolan Pkwy Archbold, OH - 435028404 |
Business Phone Number: | 5674444800 |
Business Fax Number: | |
Mailing Address: | 205 Nolan Pkwy, ARCHBOLD |
State: | OH |
Postal Code: | 435028404 |
Phone Number: | 5674444800 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH1421787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |