Individual
DR. JEREMY D KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
20 S 3RD ST, STE. 210, COLUMBUS, OH 43215-4206
(614) 636-4779
Mailing address
20 S 3RD ST, STE. 210, COLUMBUS, OH 43215-4206
(614) 636-4779
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6339
OH
103TB0200X
Cognitive & Behavioral Psychologist
6339
OH
103TC0700X
Clinical Psychologist
Primary
6339
OH
103TC2200X
Clinical Child & Adolescent Psychologist
6339
OH
103TF0000X
Family Psychologist
6339
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6339
OH
Other
Enumeration date
05/22/2007
Last updated
01/10/2017
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