Organization
MARK G SAMPSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK G SAMPSON PHD (PSYCHOLOGIST)
(734) 255-8062
Entity
Organization
Contact information
Practice address
4041 N HIGH ST STE 300I, COLUMBUS, OH 43214-3200
(614) 683-5119
Mailing address
2786 E MORELAND DR, COLUMBUS, OH 43209-3066
(734) 255-8062
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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