Organization
ANDREW COLVIN, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW NEIL COLVIN PH.D. (PRESIDENT)
(614) 430-9870
Entity
Organization
Contact information
Practice address
7650 RIVERS EDGE DR STE 140, COLUMBUS, OH 43235-1342
(614) 430-9870
Mailing address
7650 RIVERS EDGE DR STE 140, COLUMBUS, OH 43235-1342
(614) 430-9870
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
5319
OH
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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