Provider Demographics
NPI:1053760710
Name:DR MICHAEL DROWN PHD GENERAL & CONSULTING PSYCHOLOGY
Entity type:Organization
Organization Name:DR MICHAEL DROWN PHD GENERAL & CONSULTING PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-973-2035
Mailing Address - Street 1:950 TAYLOR STATION RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6670
Mailing Address - Country:US
Mailing Address - Phone:740-973-2035
Mailing Address - Fax:
Practice Address - Street 1:950 TAYLOR STATION RD
Practice Address - Street 2:SUITE C
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6670
Practice Address - Country:US
Practice Address - Phone:740-973-2035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3338103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty