Organization
COLUMBUS COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DEATHERAGE PHD (OWNER/LICENSED PSYCHOLOGIST)
(308) 208-1752
Entity
Organization
Contact information
Practice address
1071 FISHINGER RD STE 102, COLUMBUS, OH 43221-2357
(308) 208-1752
Mailing address
PO BOX 21467, COLUMBUS, OH 43221-0467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134679459
NPPES
—
01
—
1659585099
NPPES
—
Enumeration date
03/12/2025
Last updated
03/12/2025
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