| Playful Therapies Llc | |
|
3140 E Broad St Suite #101 Columbus OH 43209-2066 | |
| (614) 231-9495 | |
| (614) 230-2728 |
| Full Name | Playful Therapies Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3140 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Theodore Borkan (PSYCHOLOGIST) |
| Authorized Official Contact | 6149376326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Playful Therapies Llc 3140 E Broad St Suite #101 Columbus OH 43209-2066 Ph: (614) 231-9495 | Playful Therapies Llc 3140 E Broad St Suite #101 Columbus OH 43209-2066 Ph: (614) 231-9495 |
| NPI Number | 1912277385 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Medicare PECOS PAC ID | 6800055500 |
|---|---|
| Medicare Enrollment ID | O20120316000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912277385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4528 (Ohio) | Primary |
| Provider Name | Theodore G Borkan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174546394 PECOS PAC ID: 3779650395 Enrollment ID: I20080924000316 |
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