MARJORIE BAGWELL KUKOR, PHD

Psychologist - Clinical

Active Individual
NPI: 1104009166

Practice Address

1130 VESTER AVE
SUITE C
Springfield, OH 45503

Phone: (937) 390-3800

Specialties

Specialty Code Primary License
Psychologist 103T00000X No PPY01684 (MO)
Psychologist - Clinical 103TC0700X Yes 6340 (OH)

Frequently Asked Questions

NPI 1104009166 is the National Provider Identifier for MARJORIE BAGWELL KUKOR, PHD, a Psychologist - Clinical provider located in Springfield, OH. This NPI was enumerated on December 13, 2007.
MARJORIE BAGWELL KUKOR, PHD practices at 1130 VESTER AVE, SUITE C, Springfield, OH 45503.

Quick Facts

NPI
1104009166
Type
Individual
Enumerated
Dec 13, 2007
Last Updated
Sep 8, 2009

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