Provider Demographics
NPI:1306069414
Name:TELL PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:TELL PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:KRUPINSKI
Authorized Official - Last Name:TELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:614-354-6336
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-0454
Mailing Address - Country:US
Mailing Address - Phone:614-354-6336
Mailing Address - Fax:
Practice Address - Street 1:1794 SUTTON PL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9093
Practice Address - Country:US
Practice Address - Phone:614-354-6336
Practice Address - Fax:886-288-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6002103T00000X
OH5891103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty