Individual
INNA S FATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
(614) 475-9821
Mailing address
2 EASTON OVAL STE 450, COLUMBUS, OH 43219-6035
(614) 475-9500
(614) 475-9821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P.08265
OHIO BOARD OF PSYCHOLOGY
OH
Enumeration date
02/22/2022
Last updated
02/22/2022
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