| Organization Name: | MILL RUN PSYCHOLOGICAL SERVICES LLC |
| NPI Number: | 1104258482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA SCHULTZ (PRESIDENT) |
| Mailing Address: | 3535 Fishinger Blvd Hilliard |
| State: | OH US |
| Postal Code: | 430267504 |
| Phone Number: | 6149171001 |
| Fax Number: | 6147715267 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |