Doctor Name: | MS. DIANE BEACH |
NPI Number: | 1164700720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C |
License Number: | 6559 |
Business Practice Address: | 4 High St. Suite 101 North Andover, MA - 018452572 |
Business Phone Number: | 5082653023 |
Business Fax Number: | |
Mailing Address: | 4 High St., Suite 101 NORTH ANDOVER |
State: | MA |
Postal Code: | 018452572 |
Phone Number: | 5082653023 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |