NPI | 1184722126 |
---|---|
Doing Business As | COLUMBUS TRAUMATIC STRESS CENTER |
Entity Type | Organization |
Authorized Contact | JAMES P. REARDON Owner 614-436-9985 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH 2564) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 2564) |
103TF0200X Psychologist, Forensic (Licence: OH 2564) | |
103TR0400X Psychologist, Rehabilitation (Licence: OH 2564) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-06-30 |