Doctor Name: | BEVERLY I KLINE-LASH |
NPI Number: | 1396763165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC004186 |
Business Practice Address: | 730 Snyder Avenue Beaver Springs, PA - 178123403 |
Business Phone Number: | 5706587710 |
Business Fax Number: | 5706587710 |
Mailing Address: | 730 Snyder Avenue, BEAVER SPRINGS |
State: | PA |
Postal Code: | 178123403 |
Phone Number: | 5706587710 |
Fax Number: | 5706587710 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 08/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004186 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |