Individual
DR. LISA GORDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
(614) 752-0213
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5489
OH
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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