Havercamp, Susan Marie

Havercamp, Susan Marie is an individual health care provider with primary practice located at 1581 Dodd Dr , Columbus OH 43210-1257. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Havercamp, Susan Marie can be contacted via phone (614) 366-3276.

Contact Information

Primary practice address
1581 Dodd Dr Columbus OH 43210-1257
Phone: (614) 366-3276
Fax: (614) 366-6373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 6652 Ohio

Profile Details

NPI number 1760410898
LBN Legal business name Havercamp, Susan Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760410898 NPPES
Ohio MEDICAID 3133175

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