Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3031 | OH |
Y | 103T00000X | Psychologist | 3031 | OH |
NPI | 1013257161 |
---|---|
Provider Name | Wesley Howard Sylvia |
First Address | Columbus, OH 43223-3001 |
Second Address | Columbus, OH 43223-3827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2013 |
Last Update Date | 27/02/2013 |