Provider Information for 1376181842
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AMANDA BEEMAN LPC
Sex: Female
NPI: 1376181842
Last Updated: 2021-12-04
Certification Date: 2021-12-04
Certification Date: 2021-12-04
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376181842 | ||||||||||||
| Enumeration Date | 2019-12-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1305 11TH ST HUNTSVILLE, TX 77340-3811 United States Phone: 936-662-3803 | Fax: | ||||||||||||
| Primary Practice Address | 101 W MAIN ST TRINITY, TX 75862-7628 United States Phone: 936-642-0061 | Fax: | ||||||||||||
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