NPI 1245768456

Nicholas Zane Smith, EDS

Practitioner School Psychologist Tiffin, OH

Practice location

Address: 124 Ohio Ave, Tiffin, OH 44883-1764
Phone: (419) 455-9107
Fax: (419) 448-5221
Mailing address: 1190 Chambers Rd APT 210c, Columbus, OH 43212-1724

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence OH3256742 (OH)

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Registry record

NPI: 1245768456
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2017
Record last updated: 1 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.