Amber L Kokal, M.S.

Individual provider Active NPI School Psychologist · Middlefield, OH

NPI 1154745289 · NPPES record last updated Feb 10, 2014

Key facts

NPI
1154745289
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
OH3107988 (OH)
Practice address
16000 E High St
Middlefield, OH 44062-9474
Phone
(440) 632-0264
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OH3107988OHMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3107988 OH Yes

Addresses

Primary practice location

16000 E High St
Middlefield, OH 44062-9474

Mailing address

16000 E High St
Middlefield, OH 44062-9474
Phone (440) 632-0264

Other providers in Middlefield, OH

All providers in Middlefield, OH · School Psychologist in Ohio

Sources for this page

Verify at the official NPI Registry.