| Amigos On The Spectrum | |
|
8740 Orion Pl Ste 100 Columbus OH 43240-4063 | |
| (614) 902-2611 | |
| Not Available |
| Full Name | Amigos On The Spectrum |
|---|---|
| Speciality | Psychologist |
| Location | 8740 Orion Pl Ste 100, Columbus, Ohio |
| Authorized Official Name and Position | Emilio M Amigo (PRESIDENT) |
| Authorized Official Contact | 6149022611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amigos On The Spectrum 8740 Orion Pl Ste 100 Columbus OH 43240-4063 Ph: (614) 902-2611 | Amigos On The Spectrum 8740 Orion Pl Ste 100 Columbus OH 43240-4063 Ph: (614) 902-2611 |
| NPI Number | 1083432280 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 2668900978 |
|---|---|
| Medicare Enrollment ID | O20250115000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083432280 | NPI | - | NPPES |
| Provider Name | Emilio M Amigo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467465609 PECOS PAC ID: 2769438373 Enrollment ID: I20061017000583 |
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