NPI 1073562542
Theresa Marie Beach, LCSWR
Practice location
- Address
- 527 N Main St, Canandaigua, NY 14424-1021
- Phone
- (585) 394-1294
- Fax
- (585) 394-1294
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1073562542
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 May 2006
- Record last updated
- 13 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.