Doctor Name: | DINARA M BEASLEY |
NPI Number: | 1477637700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 21770 Fdr Boulevard Lexington Park, MD - 29653 |
Business Phone Number: | 3018624966 |
Business Fax Number: | 3018625554 |
Mailing Address: | Po Box 826, LEXINGTON PARK |
State: | MD |
Postal Code: | 206530826 |
Phone Number: | 3018624966 |
Fax Number: | 3018625554 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |