Doctor Name: | BEVERLY SEYLER |
NPI Number: | 1003122136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LPC-0356 |
Business Practice Address: | 4525 E Saint Anne Ave Phoenix, AZ - 850425359 |
Business Phone Number: | 6024316685 |
Business Fax Number: | |
Mailing Address: | 6055 S Alhambra Way, GOLD CANYON |
State: | AZ |
Postal Code: | 851187012 |
Phone Number: | 6024316685 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2010 |
NPI Last Update Date: | 08/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | LPC-0356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |