Individual
MICHAEL BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
865 COLLEGE AVE, COLUMBUS, OH 43209-2309
(614) 237-4556
Mailing address
865 COLLEGE AVE, COLUMBUS, OH 43209-2309
(614) 237-4556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512145
—
OH
01
—
P00174919
RAILROAD MEDICARE
OH
Enumeration date
05/11/2006
Last updated
03/22/2013
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