Doctor Name: | MR. RONALD DEVIN BEVERLY |
NPI Number: | 1770676165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC,LSATP,CFAE |
License Number: | 0812000438 |
Business Practice Address: | 2019 Cunningham Dr Suite 218 Hampton, VA - 236663323 |
Business Phone Number: | 7572621461 |
Business Fax Number: | |
Mailing Address: | 21 Whetstone Dr, HAMPTON |
State: | VA |
Postal Code: | 236661830 |
Phone Number: | 7578256458 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0812000438 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
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 |