Doctor Name: | MS. PAMELA H. BEALL |
NPI Number: | 1144354879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.P.C. |
License Number: | |
Business Practice Address: | 1801 N. State Route 1, Suite 2 Watseka, IL - 60970 |
Business Phone Number: | 8154321024 |
Business Fax Number: | |
Mailing Address: | 1801 N. State Rte. L, Suite 2, WATSEKA |
State: | IL |
Postal Code: | 60970 |
Phone Number: | 8154321024 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |