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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH4429
N103T00000XBehavioral Health & Social Service Providers
Psychologist
OH4429
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
OH4429

Other Provider Identifiers:

IssuerNumberStateType
0846259OH05
Code values:
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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