| Front Street Associates Llc | |
|
987 S High St Columbus OH 43206 | |
| (614) 468-8184 | |
| (614) 681-0546 |
| Full Name | Front Street Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 987 S High St, Columbus, Ohio |
| Authorized Official Name and Position | Chad Corbley (OWNER) |
| Authorized Official Contact | 6143704549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Street Associates Llc 987 S High St Columbus OH 43206-2527 Ph: (614) 468-8184 | Front Street Associates Llc 987 S High St Columbus OH 43206 Ph: (614) 468-8184 |
| NPI Number | 1265923452 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 06/27/2018 |
| Medicare PECOS PAC ID | 8224386958 |
|---|---|
| Medicare Enrollment ID | O20180813000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265923452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Chad David Corbley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487887493 PECOS PAC ID: 9931237062 Enrollment ID: I20100512000044 |
| Provider Name | Brian L Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114341880 PECOS PAC ID: 3476785809 Enrollment ID: I20140416002344 |
| Provider Name | Dorian Kondas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295255313 PECOS PAC ID: 0143591610 Enrollment ID: I20170801002676 |
| Provider Name | Abbe M Straw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003197534 PECOS PAC ID: 5294084257 Enrollment ID: I20180823003185 |
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