Provider Demographics
NPI:1982042669
Name:BEECH, HILARY
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:BEECH
Suffix:
Gender:F
Credentials:
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 2762
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94979-2762
Mailing Address - Country:US
Mailing Address - Phone:415-688-4608
Mailing Address - Fax:415-688-4462
Practice Address - Street 1:5835 COLLEGE AVE STE B3
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1653
Practice Address - Country:US
Practice Address - Phone:415-688-4608
Practice Address - Fax:415-688-4462
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27566103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical