Individual
IVY F TSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3650 OLENTANGY RIVER RD FL 3, COLUMBUS, OH 43214-3464
(614) 293-9600
(614) 293-1456
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9600
(614) 293-1456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015248
MI
103TC0700X
Clinical Psychologist
Primary
6301015248
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2008
Last updated
07/09/2024
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