DR. JEFFREY MADDEN PH.D.
Clinical Neuropsychologist
Columbus, Ohio
Provider NPI: 1356350037
Provider Information:DR. JEFFREY MADDEN PH.D.
Gender: M
Not Sole Proprietor
Practice Location:
3555 OLENTANGY RIVER RD SUITE 2020 COLUMBUS, OH 43214 US
Tel: 614-566-1190 Fax: 614-566-1191
Business Mailing Address:
5450 FRANTZ RD SUITE 250 DUBLIN, OH 43016 US
Tel: -- Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | OH | 4429 |
N | 103T00000X | Behavioral Health & Social Service Providers Psychologist | OH | 4429 |
N | 103TR0400X | Behavioral Health & Social Service Providers Psychologist | OH | 4429 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0846259 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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