| Doctor Name: | DEBORAH RUTH BEATTY |
| NPI Number: | 1003969106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.C.P.C. |
| License Number: | |
| Business Practice Address: | 2777 Finley Rd Suite #1 Downers Grove, IL - 605151010 |
| Business Phone Number: | 6303429941 |
| Business Fax Number: | 6309327639 |
| Mailing Address: | 3018 63rd St, WOODRIDGE |
| State: | IL |
| Postal Code: | 605171351 |
| Phone Number: | 6308520133 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |