Southwestern Ohio Behavioral Health,llc
NPI #1376631713 in Centerville, Ohio
Provider Information
- NPI Number
- 1376631713
- Entity Type
- Organization
- Organization Name
- Southwestern Ohio Behavioral Health,llc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jun 29, 2011
Practice Location
- Address
- 35 IRONGATE PARK DR
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4616
- Phone
- (937) 435-8864
Authorized Official
- Name
- DR. KIMBERLY SHAFFER TATE, PSY.D
- Title
- OWNER-CLINICAL PSYCHOLOGIST
- Phone
- (937) 435-8864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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