Individual
DR. SUSAN MARIE HAVERCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1581 DODD DR, COLUMBUS, OH 43210-1257
(614) 366-3276
(614) 366-6373
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-3276
(614) 366-6373
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133175
—
OH
Enumeration date
06/29/2006
Last updated
06/02/2022
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