SearchOhio101YA0400X

Trystan Queen, CMS

NPI 1639665656 · on the registry since 2018

Practice

Address
1071 Tong Hollow Rd
Bainbridge, OH 45612
Phone
(740) 634-3094
Organisation at this address
Lighthouse Youth Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2023-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio