Provider Demographics
NPI:1841453131
Name:DROWN, MICHAEL GLENN (PHD, PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GLENN
Last Name:DROWN
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Gender:M
Credentials:PHD, PSYCHOLOGIST
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Mailing Address - Street 1:950 TAYLOR STATION ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6670
Mailing Address - Country:US
Mailing Address - Phone:614-863-1820
Mailing Address - Fax:614-863-1830
Practice Address - Street 1:950 TAYLOR STATION ROAD SUITE C
Practice Address - Street 2:MICHAEL G. DROWN, PH.D., PSYCHOLOGIST, GENERAL AND CONS
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6670
Practice Address - Country:US
Practice Address - Phone:614-863-1820
Practice Address - Fax:614-863-1830
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2011-11-16
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Provider Licenses
StateLicense IDTaxonomies
OH3338103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist