| NPI | 1306069414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE KRUPINSKI TELL Psychologist 614-354-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6002) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OH 5891) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |