Individual
JANICE K KIECOLT-GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-4586
(614) 293-8552
Mailing address
4002 OLD POSTE RD, COLUMBUS, OH 43221-4905
(614) 771-9119
(614) 293-8552
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397431
—
OH
01
—
2764
LICENSE
OH
Enumeration date
02/08/2007
Last updated
07/08/2007
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