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Individual

DR. EMILIO M. AMIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY. D.

Contact information

Practice address
8740 ORION PL STE 100, COLUMBUS, OH 43240-4063
(614) 902-2611
Mailing address
8740 ORION PL STE 100, COLUMBUS, OH 43240-4063
(614) 902-2611

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4585
OH
103TC1900X
Counseling Psychologist
4585
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4585
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4585
OH

Other

Enumeration date
08/15/2006
Last updated
12/10/2024
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