Provider Demographics
NPI:1801832308
Name:BEILER, M. EILEEN (PSYD)
Entity Type:Individual
Prefix:
First Name:M.
Middle Name:EILEEN
Last Name:BEILER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6472
Mailing Address - Country:US
Mailing Address - Phone:972-661-3565
Mailing Address - Fax:972-661-0277
Practice Address - Street 1:6320 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 225
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6472
Practice Address - Country:US
Practice Address - Phone:972-661-3565
Practice Address - Fax:972-661-0277
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23321103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86805AOtherBCBS
TXP00001902OtherRAILROAD
TX038810003Medicaid
TX86805AOtherBCBS
TXP00001902OtherRAILROAD