| Mark G Sampson PhD LLC | |
|
4041 N High St Ste 300i Columbus OH 43214-3200 | |
| (614) 683-5119 | |
| Not Available |
| Full Name | Mark G Sampson PhD LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4041 N High St Ste 300i, Columbus, Ohio |
| Authorized Official Name and Position | Mark G Sampson (PSYCHOLOGIST) |
| Authorized Official Contact | 7342558062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Sampson PhD LLC 2786 E Moreland Dr Columbus OH 43209-3066 Ph: (734) 255-8062 | Mark G Sampson PhD LLC 4041 N High St Ste 300i Columbus OH 43214-3200 Ph: (614) 683-5119 |
| NPI Number | 1760171300 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760171300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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