Individual
DR. SUZANNE BEASON-HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219
(614) 257-5200
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130015
ANTHEM
OH
05
—
2184210
—
OH
01
—
354513000
MAGELLAN
OH
01
—
475329314-00
BWC
OH
Enumeration date
12/13/2006
Last updated
05/16/2018
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