| Doctor Name: | BETH BURGUARD |
| NPI Number: | 1043695208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6801067878 |
| Business Practice Address: | 15360 Cove St Grand Haven, MI - 494179537 |
| Business Phone Number: | 6165663253 |
| Business Fax Number: | |
| Mailing Address: | 11304 Edgewater Dr, Suite D.br ALLENDALE |
| State: | MI |
| Postal Code: | 494018499 |
| Phone Number: | 6168921070 |
| Fax Number: | 6168921073 |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801067878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |