Doctor Name: | MRS. SHERRY DANAE BEAL |
NPI Number: | 1356544985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 34004749A |
Business Practice Address: | 1627 N State St North Vernon, IN - 472657479 |
Business Phone Number: | 8125926795 |
Business Fax Number: | |
Mailing Address: | 349 Oakridge Dr, NORTH VERNON |
State: | IN |
Postal Code: | 472652325 |
Phone Number: | 3174028686 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2007 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34004749A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |