Individual
DR. JEFFREY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3555 OLENTANGY RIVER RD, SUITE 2020, COLUMBUS, OH 43214-3912
(614) 566-1190
(614) 566-1191
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4429
OH
103T00000X
Psychologist
4429
OH
103TR0400X
Rehabilitation Psychologist
4429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0846259
—
OH
Enumeration date
08/05/2006
Last updated
05/28/2013
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