Psychological Associates Inc. | |
3120 E Main St Columbus OH 43209-3707 | |
(614) 235-2000 | |
Not Available |
Full Name | Psychological Associates Inc. |
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Speciality | Counselor |
Location | 3120 E Main St, Columbus, Ohio |
Authorized Official Name and Position | Stephen Michael Muncy (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6142352000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychological Associates Inc. 2699 E Main St Ste 105 Columbus OH 43209-2533 Ph: (614) 235-2000 | Psychological Associates Inc. 3120 E Main St Columbus OH 43209-3707 Ph: (614) 235-2000 |
NPI Number | 1902198120 |
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Provider Enumeration Date | 05/05/2011 |
Last Update Date | 04/10/2019 |
Medicare PECOS PAC ID | 1850714874 |
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Medicare Enrollment ID | O20200709002434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902198120 | NPI | - | NPPES |
2383586 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E0004118 (Ohio) | Primary |
Provider Name | Stephen Muncy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700802758 PECOS PAC ID: 3577722081 Enrollment ID: I20120301000813 |
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