Individual provider · Type 1 NPI

Kathy Lynn Acus-Souders, PSY.D.

Clinical Psychologist · Fairborn, OH

NPI number 1174523070 Active

Practice location

2188 Gateway Dr
Fairborn, OH 45324-6356

Fax (937) 864-1950

Mailing address

7 Whippoorwill Ct
Enon, OH 45323-9792

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5311 (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 1174523070

Kathy Lynn Acus-Souders, PSY.D.'s National Provider Identifier is 1174523070, issued on Jul 21, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairborn, OH. The record was last updated on Oct 16, 2008.