Provider Demographics
NPI:1518177989
Name:BEEMAN, JOHANNA STARR (MA)
Entity Type:Individual
Prefix:MS
First Name:JOHANNA
Middle Name:STARR
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 MARINE STREET #B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-5207
Mailing Address - Country:US
Mailing Address - Phone:303-325-7659
Mailing Address - Fax:
Practice Address - Street 1:2900 MARINE STREET #B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-5207
Practice Address - Country:US
Practice Address - Phone:303-325-7659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist