Organization Name: | BETTY EASTMAN LCSW AND ASSOCIATES INC |
NPI Number: | 1265609887 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY EASTMAN (PRESIDENT) |
Mailing Address: | 200 City Hall Ave Suite E Poquoson |
State: | VA US |
Postal Code: | 236621985 |
Phone Number: | 7578680072 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904004680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |