Provider Demographics
NPI:1417219643
Name:BEU, KIMBERLY MAY (BA)
Entity Type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:MAY
Last Name:BEU
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 SHADY DR E
Mailing Address - Street 2:APARTMENT S12
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2347
Mailing Address - Country:US
Mailing Address - Phone:412-537-3204
Mailing Address - Fax:
Practice Address - Street 1:790 SHADY DR E
Practice Address - Street 2:APARTMENT S12
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2347
Practice Address - Country:US
Practice Address - Phone:412-537-3204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health