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Contact Information

ANXIETY AND STRESS DISORDERS CLINIC
1835 NEIL AVE
105 PSYCHOLOGY BUILDING
COLUMBUS, OH43210-1351
 Phone: 614-292-9484
 Fax: 614-292-4539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANXIETY AND STRESS DISORDERS CLINIC

NPI Number 1376713289
LBN Legal business name ANXIETY AND STRESS DISORDERS CLINIC
Authorized official JOSEPH DECOLA - (DIRECTOR OF CLINICAL SERVICES)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/06/2008
Last updated 06/17/2008 - About 18 years ago
Identifiers
OH License # 5678
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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