Susan Marie Havercamp in Columbus - Intellectual And Developmental Disabilities

Susan Marie Havercamp - NPI 1760410898

Susan Marie Havercamp is a Intellectual And Developmental Disabilities in Columbus, Ohio. Susan Marie Havercamp practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Susan Marie Havercamp is 1760410898. The last update date is 2022-06-02.

Susan Marie Havercamp's current location address is 700 Ackerman Rd Ste 2120, Columbus, Ohio. You can contact this provider via phone number 6143663276 and fax number 6143666373. The mailing address for Susan Marie Havercamp is 700 Ackerman Rd Ste 2120, Columbus, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Marie Havercamp
Address 700 Ackerman Rd Ste 2120, Columbus, Ohio
Phone Number 6143663276
Fax Number 6143666373
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1760410898
Provider Enumeration Date 2006-06-29
Last Updated Date 2022-06-02

Provider Mailing Address Detail

Address 700 Ackerman Rd Ste 2120
City Columbus
State Ohio (OH)
Post Code 432021559
Phone Number 6143663276
Fax Number 6143666373

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No 6652
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3133175 OH --

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FAQs about Susan Marie Havercamp

What is the unique 10-digit identifier code assigned to Susan Marie Havercamp by the Centers for Medicare & Medicaid Services?

The Susan Marie Havercamp has been issued the NPI (National Provider Identifier) 1760410898 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Susan Marie Havercamp?

The Susan Marie Havercamp is physically situated at 700 Ackerman Rd Ste 2120, in the city of Columbus, state of OH, with the postal code 432021559.

What is Susan Marie Havercamp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Marie Havercamp is Intellectual And Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 103Tm1800X.

On what date did the Susan Marie Havercamp receive its 1760410898 assignment from the Centers for Medicare & Medicaid Services?

The Susan Marie Havercamp was assigned its 1760410898 by the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date were the details related to Susan Marie Havercamp most recently updated or revised?

The information pertaining to Susan Marie Havercamp, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-02.

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