| NPI | 1639252307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M ASHBROOK CEO/Clinical Psychologist 614-291-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 4627) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 3850) |
| 103TC0700X Psychologist, Clinical (Licence: OH 5865) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 2857) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6095) | |
| 103TS0200X Psychologist, School (Licence: OH SP549) | |
| 101YP2500X Counselor, Professional (Licence: OH E.0002050-SUPV) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |