Provider Demographics
NPI:1497894398
Name:BEIN, LOUIS TOM (MS)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:TOM
Last Name:BEIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 N BELT HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3491
Mailing Address - Country:US
Mailing Address - Phone:816-271-6573
Mailing Address - Fax:816-271-6572
Practice Address - Street 1:137 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3491
Practice Address - Country:US
Practice Address - Phone:816-271-6573
Practice Address - Fax:816-271-6572
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO083157OtherVALUE OPTIONS ID
MO10001354701OtherCOMMUNITY HEALTH PLAN ID
MO12798021OtherBLUE CROSS BLUE SHIELD ID
MO56048344OtherUBH USER ID