Larkam, Beverley Mccosham
Larkam, Beverley Mccosham is an individual health care provider with primary practice located at 2102 Raleigh Avenue , Austin TX 78703-2128. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larkam, Beverley Mccosham can be contacted via phone (512) 476-4192.Contact Information
Primary practice address
2102 Raleigh Avenue
Austin TX 78703-2128
Phone: (512) 476-4192
Fax: (512) 476-5648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1952441495 |
---|---|
LBN Legal business name | Larkam, Beverley Mccosham |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952441495 | NPPES |
Texas | MEDICAID | WS0001440 |
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