Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3129702 | OH |
NPI | 1023432838 |
---|---|
Provider Name | Sarah Bush |
First Address | Toledo, OH 43614-3308 |
Second Address | Toledo, OH 43614-3308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2014 |
Last Update Date | 13/02/2014 |