Doctor Name: | MS. LINBA ANN BEERYMORENO |
NPI Number: | 1205807542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1285453501 |
Business Practice Address: | Valley Mental Health/tooele Unit 100 S 1000 W Tooele, UT - 84074 |
Business Phone Number: | 4358433520 |
Business Fax Number: | 4358433555 |
Mailing Address: | 764 Lakeview, STANSBURY PARK |
State: | UT |
Postal Code: | 840749607 |
Phone Number: | 4358509373 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1285453501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |