Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dwight David Tolliver

Individual provider Psychologist · NPI 1609909753

Dwight David Tolliver is a Clinical Psychologist in Columbus, Ohio. Graduated from University of Tennessee, Hsc, College of Medicine in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
OH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

620 E Broad St Ste 301
Columbus, OH 43215-4037
Phone: (614) 914-6690
Fax: (614) 745-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6578 (OH)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6578 (OH)

Record details

NPI number1609909753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing address620 E Broad St Ste 301, Columbus, OH 43215-4037

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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