| NPI | 1518150697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWIN GERLACH Psychologist 614-442-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3978) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |