NPI | 1700936937 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY A FRISTAD President 614-537-2604 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 3860) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2012-05-10 |