Beach, Theresa Marie

Beach, Theresa Marie is an sole proprietor health care provider with primary practice located at 527 N Main St , Canandaigua NY 14424-1021. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Beach, Theresa Marie can be contacted via phone (585) 394-1294.

Contact Information

Primary practice address
527 N Main St Canandaigua NY 14424-1021
Phone: (585) 394-1294
Fax: (585) 394-1294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R044998 New York

Profile Details

NPI number 1073562542
LBN Legal business name Beach, Theresa Marie
Credentials LCSW R
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073562542 NPPES
New York Other 338407 MVP VALUE OPTIONS
New York Other P010044998 MVP VALUE OPTIONS

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