Individual
BEVERLY BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, BLDG N, WORTHINGTON, OH 43085-3192
(614) 293-9550
(614) 293-9549
Mailing address
445 E DUBLIN GRANVILLE RD, BLDG N, WORTHINGTON, OH 43085-3192
(614) 293-9550
(614) 293-9549
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34001807
OH
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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