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Organization

FOUNDATIONS DYSLEXIA & LEARNING CENTER OF COLUMBUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN A DOUP PSY.D. (DIRECTOR/CLINICAL PSYCHOLOGIST)
(812) 657-4784
Entity
Organization

Contact information

Practice address
424 WASHINGTON ST STE 7, COLUMBUS, IN 47201-6790
(812) 657-4784
(812) 379-8068
Mailing address
450 JACKSON ST UNIT 1495, COLUMBUS, IN 47201-6783
(812) 657-4784
(812) 379-8068

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042503A
IN

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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