Individual
DR. GEORGE EDWARD SEREDNESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1000 E BROAD ST, SUITE 202, COLUMBUS, OH 43205-1381
(614) 294-0526
(614) 573-7441
Mailing address
PO BOX 24306, COLUMBUS, OH 43224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262139
MOLINA
OH
05
—
0262139
—
OH
01
—
310874007026
CARE SOURCE
OH
Enumeration date
01/09/2007
Last updated
05/12/2016
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