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NPI Code Detail

MEDICARE: RICHARD MAGUE PHD

MEDICARE: RICHARD MAGUE PHD
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
1101Y00000XCounselor3659OH

General Provider Information

NPI Number : 1003031048
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD MAGUE PHD
Provider Business Mailing Address
First Line : 75 E WILSON BRIDGE RD
Second Line : STE 4C
City : WORTHINGTON
State : OH
Zip : 43085-2362
Country : US
Telephone Number : 614-946-3486
Fax Number : 614-841-9166
Provider Business Practice Location Address
First Line : 75 E WILSON BRIDGE RD
Second Line : STE 4C
City : WORTHINGTON
State : OH
Zip : 43085-2362
Country : US
Telephone Number : 614-946-3486
Fax Number : 614-841-9166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ RICHARD MAGUE PHD” Practice Location

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