| NPI | 1932125648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANNE BERGSTEN President 614-961-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5883) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-12-01 |