MEDICARE: DAVID E WOLFE PSYD

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	103T00000X	Psychologist	1058	WV
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	P.08125	OH

General Provider Information

NPI Number	:	1568831154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID E WOLFE PSYD

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	:	614-293-1456

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	:	614-293-1456

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

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	02/19/2026

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Directions to “ DAVID E WOLFE PSYD” Practice Location

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