Provider Demographics
NPI:1891765368
Name:QUARFOOT, BETH ANN (MED,LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:QUARFOOT
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 HAMMERLY DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1922
Mailing Address - Country:US
Mailing Address - Phone:214-504-9334
Mailing Address - Fax:
Practice Address - Street 1:331 MELROSE DR
Practice Address - Street 2:STE 105
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4405
Practice Address - Country:US
Practice Address - Phone:972-907-0077
Practice Address - Fax:972-907-0079
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional