Organization
MICHAEL A FORMAN PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A FORMAN PHD (PRESIDENT)
(614) 263-5908
Entity
Organization
Contact information
Practice address
3545 OLENTANGY RIVER ROAD, SUITE 214, COLUMBUS, OH 43214-3907
(614) 263-5908
(614) 263-5941
Mailing address
3545 OLENTANGY RIVER RD, SUITE 214, COLUMBUS, OH 43214-3907
(614) 263-5908
(614) 263-5941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2928
OH
103T00000X
Psychologist
4417
OH
Other
Enumeration date
01/02/2007
Last updated
10/09/2012
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