Provider Demographics
NPI:1598283533
Name:PESCATORE, BEATRIZ REIS (LMFT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:REIS
Last Name:PESCATORE
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 1:2949 PRAIRIE ROSE DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-9430
Mailing Address - Country:US
Mailing Address - Phone:972-742-7460
Mailing Address - Fax:
Practice Address - Street 1:2949 PRAIRIE ROSE DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-9430
Practice Address - Country:US
Practice Address - Phone:972-742-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist