Individual provider · Type 1 NPI

Marjorie Ann Bagwell Kukor, PhD

Clinical Psychologist · Springfield, OH

NPI number 1104009166 Active

Practice location

1130 Vester Ave, Suite C
Springfield, OH 45503-7302

Fax (937) 390-3804

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X6340 (OH)
Psychologist 103T00000XPPY01684 (MO)
Clinical Psychologist Primary 103TC0700X6340 (OH)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104009166

Marjorie Ann Bagwell Kukor, PhD's National Provider Identifier is 1104009166, issued on Dec 13, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Springfield, OH. The record was last updated on Sep 8, 2009.