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Contact Information

JAMES P REARDON, PhD
1660 NW PROFESSIONAL PLZ STE I
COLUMBUS, OH43220-3831
 Phone: 614-826-3566
 Fax: 614-826-3582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JAMES P REARDON · (Male)

NPI # 1861436750
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/15/2006
Last updated 08/30/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 2564
  • OH Medicaid 0355459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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