| Doctor Name: | DR. LYNN MARIE BEVER |
| NPI Number: | 1114173598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., L.C.P. |
| License Number: | 0810003961 |
| Business Practice Address: | 1501 Lark Ln Blacksburg, VA - 240602658 |
| Business Phone Number: | 5402390598 |
| Business Fax Number: | 5409612694 |
| Mailing Address: | Po Box 11088, BLACKSBURG |
| State: | VA |
| Postal Code: | 240621088 |
| Phone Number: | 5402390598 |
| Fax Number: | 5409612694 |
| NPI Enumeration Date: | 08/17/2008 |
| NPI Last Update Date: | 08/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810003961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |