| NPI | 1376797936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL COLVIN Psychologist 614-848-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5251) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |