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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH ALLEN BEAVERS, PHD

Active Sole Proprietor

DR. KENNETH ALLEN BEAVERS, PHD is a Psychologist healthcare provider located in COLUMBUS, Ohio. NPI 1124005400 is currently active in the NPPES registry. Verify at CMS.

Psychologist · COLUMBUS, OH

Registration Details

NPI Number
1124005400
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2005 (20.443674362324 yrs)
Last Updated
Jul 8, 2007
License
4271 (OH)
Sole Proprietor
Yes

Practice Information

Address
1115 BETHEL RD
COLUMBUS, OH, 432202690
Browse OH providers · Browse ZIP 43220
Phone
6144593003
Fax
6144513017
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in COLUMBUS, OH

Name Credential NPI
DR. MICHAEL A FORMAN PHD 1194726133
DR. JOSEPH W SHANNON PHD 1891797452
DR. NANCY WALKER FORMAN PHD 1861484172
RUTH ELLEN GOLDBERG PHD 1679555247
DR. TRACY WILSON LEE PSYD 1558321265
DR. JANET LEE CLARK PH.D. 1427019926
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.