Provider Demographics
NPI:1821390857
Name:BEYER, BONNIE MILLERBA (CADC)
Entity Type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:MILLERBA
Last Name:BEYER
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 CHAPMAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5423
Mailing Address - Country:US
Mailing Address - Phone:302-266-3243
Mailing Address - Fax:302-266-7990
Practice Address - Street 1:261 CHAPMAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5423
Practice Address - Country:US
Practice Address - Phone:302-266-3243
Practice Address - Fax:302-266-7990
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)