Doctor Name: | BETH PAUMIER |
NPI Number: | 1619387701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OH1356159 |
Business Practice Address: | 5940 Clyde Moore Dr Groveport, OH - 431252009 |
Business Phone Number: | 6144922520 |
Business Fax Number: | |
Mailing Address: | 5940 Clyde Moore Dr, GROVEPORT |
State: | OH |
Postal Code: | 431252009 |
Phone Number: | 6144922520 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2014 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH1356159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |