Doctor Name: | JEFFREY BEYREIS |
NPI Number: | 1538303029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 330 East Lasalle Avenue Room 338 Barron, WI - 548121546 |
Business Phone Number: | 7155375691 |
Business Fax Number: | |
Mailing Address: | 330 East Lasalle Avenue, Room 338 BARRON |
State: | WI |
Postal Code: | 548121546 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 04/28/2009 |
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: |