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NPI Code Detail

MEDICARE: SCOTT A LANGENECKER PHD

MEDICARE: SCOTT A LANGENECKER 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
1103T00000XPsychologistP.08563OH
2103TC2200XClinical Child & Adolescent PsychologistP.08563OH

General Provider Information

NPI Number : 1316019839
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A LANGENECKER PHD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-9600
Fax Number : 614-366-1215
Provider Business Practice Location Address
First Line : 3650 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3464
Country : US
Telephone Number : 614-293-9600
Fax Number : 614-366-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 05/05/2026

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Directions to “ SCOTT A LANGENECKER PHD” Practice Location

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