| NPI | 1972952463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPADER Psychologist/Founder 614-852-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6516) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6516) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OH 6516) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |