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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1952441495 NPPES
Texas MEDICAID WS0001440

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