NPI | 1104044627 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY HILL Psychologist 614-847-9008 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 5490) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 5490) |
103TH0100X Psychologist, Health Service (Licence: OH 5490) | |
103TR0400X Psychologist, Rehabilitation (Licence: OH 5490) | |
Enumeration Date | 2007-04-22 |
Last Update Date | 2010-12-09 |