| Doctor Name: | BEVERLY DIANE VCHULEK |
| NPI Number: | 1326137043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,MA, LMHC |
| License Number: | MH00003448 |
| Business Practice Address: | 2068 Health Care Ave Navarre, FL - 325662901 |
| Business Phone Number: | 8507910885 |
| Business Fax Number: | |
| Mailing Address: | 3510 Chief Mate Dr, PENSACOLA |
| State: | FL |
| Postal Code: | 325069688 |
| Phone Number: | 8506373986 |
| Fax Number: | 8506371178 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 09/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH00003448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |