Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OS1-04-4033 | OH |
NPI | 1023568417 |
---|---|
Provider Name | Denise Kapps |
First Address | Columbus, OH 43207-4737 |
Second Address | Columbus, OH 43207-4737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2016 |
Last Update Date | 10/10/2016 |