Dakota Professional Corp

NPI #1083667828 in Lima, Ohio

Provider Information

NPI Number: 1083667828
Entity Type: Organization
Organization Name: Dakota Professional Corp
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 19, 2006
Last Updated: Nov 19, 2019

Practice Location

Address: 3745 SHAWNEE RD STE 105
City: Lima
State: Ohio
ZIP Code: 45806-1662
Phone: (419) 999-2024

Authorized Official

Name: DR. STACY L FAHLSING, PHD
Title: CEO OF PROFESSIONAL PSYCH ASSOC
Phone: (419) 999-2024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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