Healthcare Provider Details

I. General information

NPI: 1124943063
Provider Name (Legal Business Name): JACLYN ROBB SCHWING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 ATLAS ST
COLUMBUS OH
43228-9647
US

IV. Provider business mailing address

2140 ATLAS ST
COLUMBUS OH
43228-9647
US

V. Phone/Fax

Practice location:
  • Phone: 614-921-7000
  • Fax: 614-921-7001
Mailing address:
  • Phone: 614-921-7000
  • Fax: 614-921-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number03200
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: