Organization
CUSTOMIZED BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY LAMONT RIVERS PSY.D. (OWNER)
(614) 664-3175
Entity
Organization
Contact information
Practice address
3244 HENDERSON RD STE 4, COLUMBUS, OH 43220-7300
(614) 664-3175
(614) 386-1692
Mailing address
8842 CRESTWATER DR, GALLOWAY, OH 43119-9470
(614) 330-8834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6935
OH
Other
Enumeration date
05/11/2017
Last updated
11/09/2023
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