Provider Demographics
NPI:1346657707
Name:CHIKAKO INOUE COX PH D LLC
Entity Type:Organization
Organization Name:CHIKAKO INOUE COX PH D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHIKAKO
Authorized Official - Middle Name:INOUE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-725-9134
Mailing Address - Street 1:3805 N HIGH ST STE 304
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3539
Mailing Address - Country:US
Mailing Address - Phone:614-725-9134
Mailing Address - Fax:888-615-5469
Practice Address - Street 1:3805 N HIGH ST STE 304
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3539
Practice Address - Country:US
Practice Address - Phone:614-725-9134
Practice Address - Fax:888-615-5469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4335103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty