Individual
STEPHANIE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7650 RIVERS EDGE DR STE 140, COLUMBUS, OH 43235-1342
(614) 636-2717
Mailing address
7650 RIVERS EDGE DR STE 140, COLUMBUS, OH 43235-1342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6855
OH
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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