Michael A Forman PHD

NPI 1194726133 - Psychologist - 103T00000X

NPI Details
NPI 1194726133
Gender Male
Enumeration Date 08/01/2005
Last Updated 10/09/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3545 OLENTANGY RVR RD
SUITE 214
COLUMBUS OH, 43214-3907, US
Phone (614) 263-5908
Fax (614) 263-5941
Business Location
3545 OLENTANGY RVR RD
SUITE 214
COLUMBUS OH, 43214-3907, US
Phone (614) 263-5908
Fax (614) 263-5941
Toxanomy
Taxonomy Code 103T00000X
License State Ohio
License Number 2928
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According to our database, Dr. Michael A Forman PHD NPI is 1194726133, taxonomy code is 103T00000X and license number is 2928, license state is located at Ohio. Michael A Forman PHD physically located at 3545 Olentangy Rvr Rd, Columbus OH, 43214-3907. NPI Number Michael A Forman PHD has the Individual type.

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1194726133 NPI number is provided on an as is basis without warranty of any kind. 1194726133 is maintained by the National Plan & Provider Enumeration System. The contents of Michael A Forman PHD are for informational purposes only.