Provider Demographics
NPI:1912774688
Name:MCHOUL, BETH ANN (IBCLC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:MCHOUL
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6849
Mailing Address - Country:US
Mailing Address - Phone:727-220-8433
Mailing Address - Fax:
Practice Address - Street 1:2431 10TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-6849
Practice Address - Country:US
Practice Address - Phone:727-220-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN