Provider Demographics
NPI:1316180805
Name:BEYOR, CAREY A (LMFT)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:A
Last Name:BEYOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 EASTERN BOULEVARD
Mailing Address - Street 2:2ND FLOOR SUITE
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033
Mailing Address - Country:US
Mailing Address - Phone:860-652-0428
Mailing Address - Fax:860-652-0081
Practice Address - Street 1:78 EASTERN BOULEVARD, TRANSITIONS
Practice Address - Street 2:2ND FLOOR SUITE
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033
Practice Address - Country:US
Practice Address - Phone:860-652-0428
Practice Address - Fax:860-652-0081
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008003309Medicaid
CT500000211Medicaid