Provider Demographics
NPI:1497753370
Name:RICHARDS, DALE ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:ROBERT
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:92 NORTHWOODS BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4720
Mailing Address - Country:US
Mailing Address - Phone:614-841-9763
Mailing Address - Fax:888-235-3958
Practice Address - Street 1:92 NORTHWOODS BLVD STE C2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4720
Practice Address - Country:US
Practice Address - Phone:614-841-9763
Practice Address - Fax:882-353-9588
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34-00-5463-R2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry