| Daniel L Phalen Phd Inc | |
|
1015 E Broad St Ste 105 Columbus OH 43205-1378 | |
| (614) 372-5535 | |
| (614) 475-4758 |
| Full Name | Daniel L Phalen Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1015 E Broad St Ste 105, Columbus, Ohio |
| Authorized Official Name and Position | Daniel Lee Phalen (PSYCHOLOGIST) |
| Authorized Official Contact | 6144757462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Phalen Phd Inc 1015 E Broad St Ste 105 Columbus OH 43205-1378 Ph: (614) 372-5535 | Daniel L Phalen Phd Inc 1015 E Broad St Ste 105 Columbus OH 43205-1378 Ph: (614) 372-5535 |
| NPI Number | 1801855226 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 1153335963 |
|---|---|
| Medicare Enrollment ID | O20060201000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801855226 | NPI | - | NPPES |
| 0384114 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2720 (Ohio) | Primary |
| Provider Name | Daniel L Phalen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982872776 PECOS PAC ID: 1052376712 Enrollment ID: I20041123000061 |
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