Provider Demographics
NPI:1659637742
Name:BEEVER, KATE (MA, MTBC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BEEVER
Suffix:
Gender:F
Credentials:MA, MTBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:CORNISH
Mailing Address - State:ME
Mailing Address - Zip Code:04020-0526
Mailing Address - Country:US
Mailing Address - Phone:207-233-8734
Mailing Address - Fax:
Practice Address - Street 1:54 WEST VALENTINE STREET
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092
Practice Address - Country:US
Practice Address - Phone:207-233-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist