| NPI | 1144345117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K MCCARTHY Psychologist 614-888-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0008839) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |