Individual
COURTNEY CLEMINSHAW-MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
275 W SCHROCK RD, WESTERVILLE, OH 43081-2159
(614) 355-8230
(614) 355-8231
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023923
—
OH
Enumeration date
07/13/2021
Last updated
04/10/2025
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