Most Relevant Information
Provider Data
  | NPI Number: | 1003346578 | 
| Provider Name: | BRIAN T. WYMBS PHD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 103TC0700X | 
| Specialty: | Psychologist | 
| License Number: | 7076 | 
Most Important Dates
  | Enumeration Date: | 06/15/2017 | 
| Last Updated: | 06/15/2017 | 
Provider Practice Location
  1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY
      PORTER HALL ROOM 002
      ATHENS
      OH
      457012942
  Practice Location Phone/Fax
      | Phone: | 7405930902 | 
| Fax: | 7405934790 | 
Provider Mailing Location
  200 PORTER HALL
      OHIO UNIVERSITY
      ATHENS
      OH
      45701
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |