Fred M. Sacks, Ph.d. & Associates

NPI #1295088078 in Tipp City, Ohio

Provider Information

NPI Number: 1295088078
Entity Type: Organization
Organization Name: Fred M. Sacks, Ph.d. & Associates
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 18, 2012
Last Updated: Oct 18, 2012

Practice Location

Address: 1485 COMMERCE PARK DR
City: Tipp City
State: Ohio
ZIP Code: 45371-2883
Phone: (937) 667-5126

Authorized Official

Name: DR. FRED M SACKS, PH.D.
Title: OWNER / PSYCHOLOGIST
Phone: (937) 667-5126

Specialties & Taxonomy Codes

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

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