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Organization

ANXIETY AND STRESS DISORDERS CLINIC

Active
Parent organization
THE OHIO STATE UNIVERSITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE OHIO STATE UNIVERSITY
Authorized official
DR. JOSEPH PHILIP DECOLA PH.D. (DIRECTOR OF CLINICAL SERVICES)
(614) 292-9484
Entity
Organization

Contact information

Practice address
1835 NEIL AVE, 105 PSYCHOLOGY BUILDING, COLUMBUS, OH 43210-1351
(614) 292-9484
(614) 292-4539
Mailing address
1835 NEIL AVE, 105 PSYCHOLOGY BUILDING, COLUMBUS, OH 43210-1351
(614) 292-9484
(614) 292-4539

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5678
OH

Other

Enumeration date
03/06/2008
Last updated
06/17/2008
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