MEDICARE: CAROL A. BEAZEL PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E 0001930- S	OH

General Provider Information

NPI Number	:	1558705897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL A. BEAZEL PHD

Provider Business Mailing Address
First Line	:	1175 NEWARK RD
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2618
Country	:	US
Telephone Number	:	740-454-0738
Fax Number	:	740-454-1162

Provider Business Practice Location Address
First Line	:	1175 NEWARK RD
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2618
Country	:	US
Telephone Number	:	740-454-0738
Fax Number	:	740-454-1162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	04/17/2013

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Directions to “ CAROL A. BEAZEL PHD” Practice Location

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