Provider Demographics
NPI:1700570058
Name:STINSON, BETH (ATR-BC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:STINSON
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:TUTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:823 SHERIDAN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1126
Mailing Address - Country:US
Mailing Address - Phone:202-779-8757
Mailing Address - Fax:
Practice Address - Street 1:823 SHERIDAN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1126
Practice Address - Country:US
Practice Address - Phone:202-779-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC16-139221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist