Doctor Name: | BRIAN D. BEUTLER |
NPI Number: | 1528188273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | LMSW-26872 |
Business Practice Address: | 2055 Garrett Way Suite 1 Pocatello, ID - 832015100 |
Business Phone Number: | 2082337832 |
Business Fax Number: | |
Mailing Address: | Po Box 4908, POCATELLO |
State: | ID |
Postal Code: | 832054908 |
Phone Number: | 2082361600 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMSW-26872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |