Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 20501643 | OH |
NPI | 1063821353 |
---|---|
Provider Name | Andrew Orlins |
First Address | Columbus, OH 43211-1034 |
Second Address | Columbus, OH 43211-1034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 12/08/2014 |