Individual
MS. MARILYN LAILA SAMPILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
700 CHILDRENS DR, PSYCHOLOGY DEPARTMENT, COLUMBUS, OH 43205-2664
(614) 722-4700
(614) 722-4718
Mailing address
700 CHILDRENS DR, PSYCHOLOGY DEPARTMENT, COLUMBUS, OH 43205-2664
(614) 722-4700
(614) 722-4718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1397
KS
103TC0700X
Clinical Psychologist
Primary
7511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
07/18/2011
Last updated
12/06/2016
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