| Mill Run Psychological Services Llc | |
|
3535 Fishinger Blvd Hilliard OH 43026-7504 | |
| (614) 917-1001 | |
| (614) 771-5267 |
| Full Name | Mill Run Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3535 Fishinger Blvd, Hilliard, Ohio |
| Authorized Official Name and Position | Dana Schultz (PRESIDENT) |
| Authorized Official Contact | 6147710200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Run Psychological Services Llc 3535 Fishinger Blvd Hilliard OH 43026-7504 Ph: (614) 917-1001 | Mill Run Psychological Services Llc 3535 Fishinger Blvd Hilliard OH 43026-7504 Ph: (614) 917-1001 |
| NPI Number | 1104258482 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 10/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104258482 | NPI | - | NPPES |
| 0089303 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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