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Deryck D. Richardson, Ph.d. Llc
Adolescent and Children Mental Health Clinic/Center in Columbus, Ohio
NPI 1629340914

Deryck D. Richardson, Ph.d. Llc is an Adolescent and Children Mental Health Clinic/Center based in Columbus, OH and is specialized in Adolescent and Children Mental Health. Deryck D. Richardson, Ph.d. Llc practices in Columbus, OH. The NPI Number for Deryck D. Richardson, Ph.d. Llc is 1629340914 and holds a License No. 2950 (Ohio).

The current practice location address for Deryck D. Richardson, Ph.d. Llc is 1425 E Dublin Granville Rd, Columbus, OH and can be reached out via phone at 614-888-5255 and via fax at 614-888-2306. You can also correspond with Deryck D. Richardson, Ph.d. Llc through the mailing address at 1425 E DUBLIN GRANVILLE RD, COLUMBUS, OH - 43229-3325 (mailing address contact number: 614-888-5255).

Location: 1425 E Dublin Granville Rd, Columbus, OH, 43229-3325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629340914
Provider Name
Deryck D. Richardson, Ph.d. Llc
Credential
Provider Entity Type
Organization
Address
1425 E Dublin Granville Rd, Columbus, OH, 43229-3325
Phone Number
614-888-5255
Fax Number
614-888-2306
Provider Enumeration Date
02/01/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0453389 05 OH
institution
Provider Business Practice Location Address Details
Address
1425 E Dublin Granville Rd
City
Columbus
State
Ohio
Zip
43229-3325
Phone Number
614-888-5255
Fax Number
614-888-2306
person
Provider Business Mailing Address Details
Address
1425 E Dublin Granville Rd
City
Columbus
State
Ohio
Zip
43229-3325
Phone Number
614-888-5255
Fax Number
614-888-2306
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2950 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2950 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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