Provider Demographics
NPI:1083229561
Name:FRANCIS, BEVERLY (PSI)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CALLE MANGO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3949
Mailing Address - Country:US
Mailing Address - Phone:787-220-1920
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE MANGO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3949
Practice Address - Country:US
Practice Address - Phone:787-220-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5450103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty