Individual
BROCK J SCHLUDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6631 COMMERCE PKWY STE R, DUBLIN, OH 43017-3239
(614) 360-2600
Mailing address
120 TIBET RD, COLUMBUS, OH 43202-1436
(330) 464-5573
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
7853
OH
103TC0700X
Clinical Psychologist
Primary
7853
OH
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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