MAUMEE VALLEY GUIDANCE CENTER is a prescribing (medical) psychologist in Defiance, OH. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MAUMEE VALLEY GUIDANCE CENTER NPI is 1639341589. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
211 BIEDE AVE
DEFIANCE, OH
ZIP 43512-408
Phone: (419) 782-8856
Fax: (419) 782-2261
The provider's authorized official is Mary Bailey .
The authorized official title is Cfo and has the following contact phone number (419) 782-8856.
The CLIA number assigned to this NPI record is 36D1053301 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.