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NPI Code Detail

MEDICARE: DANNELLE BAGNOLI HARENBERG

MEDICARE: DANNELLE BAGNOLI HARENBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH1312908OH

General Provider Information

NPI Number : 1710399969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNELLE BAGNOLI HARENBERG
Provider Business Mailing Address
First Line : 3425 SAINT CHARLES LN
Second Line :
City : HILLIARD
State : OH
Zip : 43026-5736
Country : US
Telephone Number : 614-432-2081
Fax Number :
Provider Business Practice Location Address
First Line : 737 E HUDSON ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-1034
Country : US
Telephone Number : 614-365-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2014
Last Update Date : 05/22/2014

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Directions to “ DANNELLE BAGNOLI HARENBERG ” Practice Location

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