Organization
SUSAN WELTNER-BRUNTON, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LYNN WELTNER PH.D. (PRESIDENT)
(614) 754-7648
Entity
Organization
Contact information
Practice address
921 CHATHAM LN, SUITE 112, COLUMBUS, OH 43221-2418
(614) 754-7648
(614) 754-7965
Mailing address
921 CHATHAM LN, SUITE 112, COLUMBUS, OH 43221-2418
(614) 754-7648
(614) 754-7965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116400000
MAGELLAN
OH
Enumeration date
02/02/2007
Last updated
05/15/2009
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