| Joseph P Decola, Ph.d., Llc | |
|
6797 N High St Suite 214 Worthington OH 43085-2533 | |
| (614) 407-5776 | |
| (614) 436-4830 |
| Full Name | Joseph P Decola, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6797 N High St, Worthington, Ohio |
| Authorized Official Name and Position | Joseph Philip Decola (OWNER & PSYCHOLOGIST) |
| Authorized Official Contact | 6144075776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P Decola, Ph.d., Llc 6797 N High St Suite 214 Worthington OH 43085-2533 Ph: (614) 407-5776 | Joseph P Decola, Ph.d., Llc 6797 N High St Suite 214 Worthington OH 43085-2533 Ph: (614) 407-5776 |
| NPI Number | 1487832333 |
|---|---|
| Provider Enumeration Date | 02/02/2008 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 9032007224 |
|---|---|
| Medicare Enrollment ID | O20040309000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487832333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5678 (Ohio) | Primary |
| Provider Name | Joseph Philip Decola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669436291 PECOS PAC ID: 1557259744 Enrollment ID: I20040310000007 |
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