Doctor Name: | STEPHEN BEYERS |
NPI Number: | 1043552292 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 5831651-6004 |
Business Practice Address: | 9192 S 300 W #19 Sandy, UT - 840702671 |
Business Phone Number: | 8015543191 |
Business Fax Number: | 8015239239 |
Mailing Address: | 456 E Brewster Dr, DRAPER |
State: | UT |
Postal Code: | 840205151 |
Phone Number: | 8015543191 |
Fax Number: | 8015239239 |
NPI Enumeration Date: | 03/25/2013 |
NPI Last Update Date: | 03/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5831651-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |