| NPI | 1982637260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY BIGBIE Administrative Assistant 614-792-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |