Organization
MILL RUN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SCHULTZ MD (PRESIDENT)
(614) 771-0200
Entity
Organization
Contact information
Practice address
3535 FISHINGER BLVD, HILLIARD, OH 43026-7504
(614) 917-1001
(614) 771-5267
Mailing address
3535 FISHINGER BLVD, HILLIARD, OH 43026-7504
(614) 917-1001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089303
—
OH
Enumeration date
08/08/2013
Last updated
10/23/2013
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