Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 7295 | OH |
NPI | 1003295627 |
---|---|
Provider Name | Dr. Rachel Hummel-Sass |
First Address | Tiffin, OH 44883-0954 |
Second Address | Tiffin, OH 44883-3458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2015 |
Last Update Date | 12/10/2021 |