Provider Demographics
NPI:1285817825
Name:BEARDWOOD, NORMA LOUISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:LOUISE
Last Name:BEARDWOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:132 W XANTHISMA AVE APT 162
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2333
Mailing Address - Country:US
Mailing Address - Phone:956-687-3331
Mailing Address - Fax:956-687-3334
Practice Address - Street 1:5313 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9168
Practice Address - Country:US
Practice Address - Phone:956-687-3331
Practice Address - Fax:956-687-3334
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional