Ohio State University | |
5665 Hoover Rd Grove City OH 43123-9122 | |
(614) 539-6563 | |
Not Available |
Full Name | Ohio State University |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 5665 Hoover Rd, Grove City, Ohio |
Authorized Official Name and Position | Patricia Gentile (PSYCHIATRIST) |
Authorized Official Contact | 6145396563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ohio State University 5665 Hoover Rd Grove City OH 43123-9122 Ph: (614) 539-6563 | Ohio State University 5665 Hoover Rd Grove City OH 43123-9122 Ph: (614) 539-6563 |
NPI Number | 1699040691 |
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Provider Enumeration Date | 03/09/2012 |
Last Update Date | 03/09/2012 |
Identifier | Type | State | Issuer |
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1699040691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | RN.142283-NP (Ohio) | Primary |
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