Organization · Type 2 NPI

Square North Practice LLC

Clinical Psychologist · Bryan, OH

NPI number 1720583776 Active

Practice location

126 N Main St
Bryan, OH 43506-1316

Fax (419) 754-2215

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6910 (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…

2 other providers at this address

About NPI 1720583776

Square North Practice LLC's National Provider Identifier is 1720583776, issued on Mar 29, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bryan, OH. The record was last updated on Oct 14, 2026.