Doctor Name: | MS. EVA LOU BEATTY |
NPI Number: | 1346462363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 135145-3501 |
Business Practice Address: | 115 W 200 S # 7 Moab, UT - 845322534 |
Business Phone Number: | 4352602324 |
Business Fax Number: | |
Mailing Address: | 715 Bartlett Ave, MOAB |
State: | UT |
Postal Code: | 845322205 |
Phone Number: | 4352602324 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 135145-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |