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Organization
PSYCHOLOGICAL ASSOCIATES INC.
Active
Organization
PSYCHOLOGICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL MUNCY PH.D (CLINICAL PSYCHOLOGIST)
(614) 235-2000
Entity
Organization
Contact information
Practice address
3120 E MAIN ST, COLUMBUS, OH 43209-3707
(614) 235-2000
Mailing address
2699 E MAIN ST STE 105, COLUMBUS, OH 43209-2533
(614) 235-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0004118
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383586
—
OH
Enumeration date
05/05/2011
Last updated
04/10/2019
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