| Doctor Name: | DR. CAROL 'BETH' GENTRY-EPLEY |
| NPI Number: | 1629018213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 2004008806 |
| Business Practice Address: | 3505 Frederick Ave. St. Joseph, MO - 64506 |
| Business Phone Number: | 8163872636 |
| Business Fax Number: | 8163872390 |
| Mailing Address: | 119 N Missouri St, LIBERTY |
| State: | MO |
| Postal Code: | 640681729 |
| Phone Number: | 8167811577 |
| Fax Number: | 8163872390 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2004008806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |