| Doctor Name: | DR. LORRIE GENE BEEVERS |
| NPI Number: | 1124101431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | P832 |
| Business Practice Address: | 679 Emory Valley Road Suite B Oak Ridge, TN - 378307756 |
| Business Phone Number: | 8652125296 |
| Business Fax Number: | 8652125296 |
| Mailing Address: | 679 Emory Valley Rd., Suite B OAK RIDGE |
| State: | TN |
| Postal Code: | 378307756 |
| Phone Number: | 8652125296 |
| Fax Number: | 8652125296 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | P832 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |