| NPI | 1396870234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J TENNENBAUM Owner 614-451-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |