Doctor Name: | DR. DAVID BEEKSMA |
NPI Number: | 1053645804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. PSYCHOLOGIST |
License Number: | 3607-125 |
Business Practice Address: | 7665 Us Highway 2 Iron River, WI - 548474690 |
Business Phone Number: | 7153725001 |
Business Fax Number: | |
Mailing Address: | 815 Ellis Ave, ASHLAND |
State: | WI |
Postal Code: | 548063159 |
Phone Number: | 7156850213 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3607-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |