Individual
JAMES P. REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1660 NW PROFESSIONAL PLZ STE I, COLUMBUS, OH 43220-3831
(614) 826-3566
(614) 826-3582
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2564
OH
103TC1900X
Counseling Psychologist
Primary
2564
OH
103TF0200X
Forensic Psychologist
2564
OH
103TR0400X
Rehabilitation Psychologist
2564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355459
—
OH
Enumeration date
06/15/2006
Last updated
08/30/2022
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