Healthcare Provider Details

I. General information

NPI: 1003834896
Provider Name (Legal Business Name): MICHELLE DEANNE CLINGER PH.D., LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 N MAIN ST
FINDLAY OH
45840-3818
US

IV. Provider business mailing address

1918 N MAIN ST
FINDLAY OH
45840-3818
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-5050
  • Fax: 419-420-8015
Mailing address:
  • Phone: 419-425-5050
  • Fax: 419-420-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0003723
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5816
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: