Individual
JONATHAN SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
931 CHATHAM LN STE 201, COLUMBUS, OH 43221-2417
(614) 533-5500
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P.08294
OH
Other
Enumeration date
04/29/2022
Last updated
09/07/2022
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