| Generations Psychological And Consultation Services Llc | |
|
1520 Old Henderson Rd Ste E Columbus OH 43220-3639 | |
| (309) 531-3504 | |
| Not Available |
| Full Name | Generations Psychological And Consultation Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1520 Old Henderson Rd Ste E, Columbus, Ohio |
| Authorized Official Name and Position | Teresa Young (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6143289528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Psychological And Consultation Services Llc 855 Ebner St Columbus OH 43206-2361 Ph: (309) 531-3504 | Generations Psychological And Consultation Services Llc 1520 Old Henderson Rd Ste E Columbus OH 43220-3639 Ph: (309) 531-3504 |
| NPI Number | 1548807704 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 12/06/2019 |
| Medicare PECOS PAC ID | 9739515891 |
|---|---|
| Medicare Enrollment ID | O20230126000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548807704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Teresa Anne Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124331699 PECOS PAC ID: 9830463413 Enrollment ID: I20230126001046 |
| Provider Name | Richard Laurent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326525213 PECOS PAC ID: 6002164316 Enrollment ID: I20230731000721 |
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