Doctor Name: | MRS. BARBARA DEANNE BEATON |
NPI Number: | 1053608984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 4823 N Royal Atlanta Dr Tucker, GA - 300843806 |
Business Phone Number: | 7709392121 |
Business Fax Number: | |
Mailing Address: | 56 Saint Aurics Dr, SUWANEE |
State: | GA |
Postal Code: | 300242789 |
Phone Number: | 6784292805 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |