Individual
JOHN M SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1971 W 5TH AVE, SUITE 2, COLUMBUS, OH 43212-1905
(614) 748-8628
(614) 488-9592
Mailing address
1971 W 5TH AVE, SUITE 2, COLUMBUS, OH 43212-1905
(614) 488-6285
(614) 488-9592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250900
—
OH
Enumeration date
10/19/2005
Last updated
03/27/2017
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