MEDICARE: DR. BARBARA SINCLAIR 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
1	103TC0700X	Clinical Psychologist	5921	OH

General Provider Information

NPI Number	:	1184793770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA SINCLAIR PHD

Provider Business Mailing Address
First Line	:	4949 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214
Country	:	US
Telephone Number	:	614-451-6606
Fax Number	:	614-451-2923

Provider Business Practice Location Address
First Line	:	4949 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214
Country	:	US
Telephone Number	:	614-451-6606
Fax Number	:	614-451-2923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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