Provider Demographics
NPI:1124543491
Name:BEEMAN, TERREN REX (CDPT)
Entity Type:Individual
Prefix:
First Name:TERREN
Middle Name:REX
Last Name:BEEMAN
Suffix:
Gender:M
Credentials:CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 S BROWNE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2315
Mailing Address - Country:US
Mailing Address - Phone:509-456-5465
Mailing Address - Fax:509-456-5710
Practice Address - Street 1:518 S BROWNE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2315
Practice Address - Country:US
Practice Address - Phone:509-456-5465
Practice Address - Fax:509-456-5710
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60721626101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)