DR. KATHY LYNN ACUS-SOUDERS PSY.D.
NPI 1174523070
Psychologist - Clinical in Fairborn, OH

Active since July 21, 2005
2188 GATEWAY DR, FAIRBORN, OH 45324(937) 864-7122(937) 864-1950 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathy Lynn Acus-souders Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHY LYNN ACUS-SOUDERS PSY.D. (NPI 1174523070) is an individual clinical provider in Fairborn, Ohio, licensed in Ohio (5311) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1174523070
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHY LYNN ACUS-SOUDERSCredential: PSY.D.
Location Address2188 GATEWAY DRFairborn, OH 45324-6356
Mailing Address7 Whippoorwill CtEnon, OH 45323-9792 · (937) 864-1940 · Fax (937) 864-1950
Fax(937) 864-1950
Sole ProprietorYes
Enumeration DateJuly 21, 2005
Last NPPES UpdateOctober 16, 2008
NPI 1174523070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OH · 5311
Definition

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2188 GATEWAY DR, Fairborn, OH 45324

Other Identifiers 1

Medicare PINKA9358381OH

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
2188 GATEWAY DR
FAIRBORN, OH 45324
Psychologist (Clinical)
2188 GATEWAY DR
FAIRBORN, OH 45324
Psychologist (Clinical)
2188 GATEWAY DR
FAIRBORN, OH 45324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Acus-souders's NPI number?

The NPI number for Kathy Acus-souders is 1174523070. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Kathy Acus-souders located?

Kathy Acus-souders practices at 2188 Gateway Dr, Fairborn, OH 45324. The listed phone number is (937) 864-7122.

What is Kathy Acus-souders's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kathy Acus-souders was last updated on October 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.