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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARJORIE ANN BAGWELL KUKOR, PHD

Active

MARJORIE ANN BAGWELL KUKOR, PHD is a Clinical Psychologist healthcare provider located in SPRINGFIELD, Ohio. NPI 1104009166 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SPRINGFIELD, OH

Registration Details

NPI Number
1104009166
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2007 (18.626805109645 yrs)
Last Updated
Sep 8, 2009
Licenses
6340 (OH)
PPY01684 (MO)
6340 (OH)

Practice Information

Address
1130 VESTER AVE
SUITE C
SPRINGFIELD, OH, 455037302
Browse OH providers · Browse ZIP 45503
Phone
9373903800
Fax
9373903804
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in SPRINGFIELD, OH

Name Credential NPI
DR. HENSEL OWEN WARD JR. PH.D. 1083711162
KENNETH P DRUDE PH.D. 1518055474
DR. PHILIP JOSEPH GIBEAU PHD 1144387820
KARA MICHELLE SCHLEGEL PSY.D. 1346406261
JORDAN ALLISON PSYD 1376096842
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.