Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathy Acus-Souders, Psy D , LLC

Organization Clinical Psychologist · NPI 1215112214

Kathy Acus-Souders, Psy D , LLC is a Clinical Psychologist in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2188 Gateway Dr
Fairborn, OH 45324-6356
Phone: (937) 864-1940
Fax: (937) 864-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5311 (OH)

Record details

NPI number1215112214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Acus-Souders — Clinical Psychologist · (937) 864-1940
NPI enumeratedJanuary 8, 2008
Last updated in NPPESNovember 26, 2008
Mailing address2188 Gateway Dr, Fairborn, OH 45324-6356

Other providers in Fairborn