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DR. JOHN T BEETAR PH.D

Clinical Neuropsychologist

Columbus, Ohio

Provider NPI: 1912920943

Provider Information:
DR. JOHN T BEETAR PH.D
Gender: M
Not Sole Proprietor

Practice Location:
700 CHILDRENS DR 4TH FLOOR COLUMBUS, OH 43205 US
Tel: 614-722-4700  Fax: --

Business Mailing Address:
700 CHILDRENS DR 4TH FLOOR COLUMBUS, OH 43205 US
Tel: 614-722-4700  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH5535

Other Provider Identifiers:

IssuerNumberStateType
BCMH2271394OH01
2271394OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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