Elise Minick, SCHOOL PSYCHOLOGIST

NPI #1891195111 in Van Wert, Ohio

Provider Information

NPI Number: 1891195111
Entity Type: Individual
Name: Elise Minick, SCHOOL PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: SCHOOL PSYCHOLOGIST
Enumeration Date: Aug 25, 2014
Last Updated: Aug 25, 2014

Practice Location

Address: 9769D NOBLE LN
City: Van Wert
State: Ohio
ZIP Code: 45891-9157
Phone: (419) 605-8287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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