Individual
BEVERLY NORDHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6281 TRI RIDGE BLVD, LOVELAND, OH 45140
(513) 791-5766
Mailing address
6281 TRI RIDGE BLCD, LOVELAND, OH 45140
(513) 791-5766
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CI1013621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1013621
EDUCATOR STATE ID
OH
Enumeration date
11/09/2016
Last updated
11/09/2016
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