Provider Demographics
NPI:1053453837
Name:TOMLINSON, BEATRICE JANE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:JANE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:BEATRICE
Other - Middle Name:JANE
Other - Last Name:TOMLINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:P. O. BOX 1397
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78156
Mailing Address - Country:US
Mailing Address - Phone:830-379-1949
Mailing Address - Fax:
Practice Address - Street 1:628 N. HWY 123 BYPASS
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78156
Practice Address - Country:US
Practice Address - Phone:830-379-1949
Practice Address - Fax:830-379-4713
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional