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NPI Code Detail

MEDICARE: DR. MARY ANN KAMPHAUS PHD

MEDICARE: DR. MARY ANN KAMPHAUS PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist20805364OH

General Provider Information

NPI Number : 1740687557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ANN KAMPHAUS PHD
Provider Business Mailing Address
First Line : 5221 CALEB HILL RD
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-8861
Country : US
Telephone Number : 937-393-8550
Fax Number :
Provider Business Practice Location Address
First Line : 141 LLOYD RD
Second Line :
City : WEST UNION
State : OH
Zip : 45693-8974
Country : US
Telephone Number : 937-544-6079
Fax Number : 937-544-3720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2014
Last Update Date : 11/21/2014

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Directions to “ DR. MARY ANN KAMPHAUS PHD” Practice Location

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