Provider Demographics
NPI:1235701749
Name:BEELER, DAYN'L
Entity Type:Individual
Prefix:
First Name:DAYN'L
Middle Name:
Last Name:BEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9412 DORAL CT APT 2
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1653
Mailing Address - Country:US
Mailing Address - Phone:925-301-0289
Mailing Address - Fax:
Practice Address - Street 1:9412 DORAL CT APT 2
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1653
Practice Address - Country:US
Practice Address - Phone:925-301-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker