Provider Demographics
NPI:1598892820
Name:TSCHIMPERLE, BEVERLY JUNE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JUNE
Last Name:TSCHIMPERLE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7512 STANICH LN
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5129
Mailing Address - Country:US
Mailing Address - Phone:253-376-5313
Mailing Address - Fax:
Practice Address - Street 1:7512 STANICH LN
Practice Address - Street 2:SUITE 5
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5129
Practice Address - Country:US
Practice Address - Phone:253-376-5313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001255106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist