Individual
LYNNE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
480 MEDICAL CENTER DR, 2145 DODD HALL, COLUMBUS, OH 43210-1229
(614) 293-3830
(614) 293-4870
Mailing address
480 MEDICAL CENTER DR, 2145 DODD HALL, COLUMBUS, OH 43210-1229
(614) 293-3830
(614) 293-4870
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
6869
OH
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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