Doctor Name: | BETH CAILLOUET |
NPI Number: | 1184927626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 9280 |
Business Practice Address: | 1301 Richmond Rd Staunton, VA - 22401 |
Business Phone Number: | 5403328000 |
Business Fax Number: | |
Mailing Address: | Po Box 2500, STAUNTON |
State: | VA |
Postal Code: | 244022500 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/06/2010 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 9280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |