Doctor Name: | BEVERLY H. SYMONDS |
NPI Number: | 1124140702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | 035590 |
Business Practice Address: | 48 East St Fort Edward, NY - 128281811 |
Business Phone Number: | 5188248630 |
Business Fax Number: | 5188242302 |
Mailing Address: | 9 Carey Rd, QUEENSBURY |
State: | NY |
Postal Code: | 128047880 |
Phone Number: | 5187610300 |
Fax Number: | 5188242396 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 04/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 035590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |