Provider Demographics
NPI:1053440602
Name:YAUMAN, BETH E (PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:E
Last Name:YAUMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8437 MAYFIELD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2584
Mailing Address - Country:US
Mailing Address - Phone:440-729-9155
Mailing Address - Fax:
Practice Address - Street 1:8437 MAYFIELD RD STE 104
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2584
Practice Address - Country:US
Practice Address - Phone:440-729-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5090103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP18873Medicare ID - Type Unspecified