Provider Demographics
NPI:1689858854
Name:PAUGH PSYCHOLOGY INC.
Entity Type:Organization
Organization Name:PAUGH PSYCHOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:PAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-261-0001
Mailing Address - Street 1:1000 E. BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-252-3636
Mailing Address - Fax:614-251-4061
Practice Address - Street 1:100 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3607
Practice Address - Country:US
Practice Address - Phone:614-252-3636
Practice Address - Fax:614-251-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6387251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health