Provider First Line Business Practice Location Address:
PSYCHOLOGICAL SERVICES CENTER
Provider Second Line Business Practice Location Address:
SUITE 300 PSYCHOLOGY DEPT. BOWLING GREEN STATE UNIV
Provider Business Practice Location Address City Name:
BOWLING GREEN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-372-2540
Provider Business Practice Location Address Fax Number:
419-372-2533
Provider Enumeration Date:
04/28/2006