Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersJENNIFER BOGNER PH.D.
Clinical Neuropsychologist
Columbus, Ohio
Provider NPI: 1700896461
Provider Information:JENNIFER BOGNER PH.D.
Gender: F
Not Sole Proprietor
Practice Location:
480 W. 9TH AVENUE DODD HALL COLUMBUS, OH 43210 US
Tel: 614-293-3830 Fax: 614-293-4870
Business Mailing Address:
200 BRADENTON AVE DUBLIN, OH 43017 US
Tel: 614-793-1980 Fax: --
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | OH | 4331 |
| N | 103T00000X | Behavioral Health & Social Service Providers Psychologist | OH | 4331 |
| Y | 103TR0400X | Behavioral Health & Social Service Providers Psychologist | OH | 4331 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0843323 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
