| Doctor Name: | MRS. BEVERLY R SARGENT |
| NPI Number: | 1700188489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LGPC |
| License Number: | LGP3017 |
| Business Practice Address: | 6608 Wilkins Pl Forestville, MD - 207474155 |
| Business Phone Number: | 3012756787 |
| Business Fax Number: | 3012491890 |
| Mailing Address: | 1400 Golden Eye Court, UPPER MARLBORO |
| State: | MD |
| Postal Code: | 20774 |
| Phone Number: | 3012756787 |
| Fax Number: | 3012491890 |
| NPI Enumeration Date: | 12/01/2010 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LGP3017 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |