MEDICARE: DIANA BARTHLOW PH.D.

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	5572	OH

General Provider Information

NPI Number	:	1871624585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA BARTHLOW PH.D.

Provider Business Mailing Address
First Line	:	2690 BILLINGSLEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1924
Country	:	US
Telephone Number	:	614-766-0161
Fax Number	:	614-766-0298

Provider Business Practice Location Address
First Line	:	2690 BILLINGSLEY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1924
Country	:	US
Telephone Number	:	614-766-0161
Fax Number	:	614-766-0298

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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Directions to “ DIANA BARTHLOW PH.D.” Practice Location

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