Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN ELAINE BEVERLY
Active Sole ProprietorCAROLYN ELAINE BEVERLY is a Emotionally Disturbed Children Residential Treatment healthcare provider located in GLASGOW, Virginia. NPI 1356715197 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · GLASGOW, VA
Registration Details
- NPI Number
- 1356715197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2015 (10.749567419395 yrs)
- Last Updated
- Nov 17, 2015
- License
-
2469-01-001 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
716 FITZLEE STGLASGOW, VA, 245552530Browse VA providers · Browse ZIP 24555
- Phone
- 5402581098
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.