Doctor Name: | MS. CHERYL D BEAMAN |
NPI Number: | 1922387455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BHRS |
License Number: | |
Business Practice Address: | 33493 S Burnt Cabin Rd Park Hill, OK - 744512077 |
Business Phone Number: | 9183165162 |
Business Fax Number: | |
Mailing Address: | 33493 S Burnt Cabin Rd, PARK HILL |
State: | OK |
Postal Code: | 744512077 |
Phone Number: | 9183165162 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 08/15/2011 |
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: |