Whalio Doctors

NPI 1093191470

Charlotte Beaty, LPCC

Practitioner Day Training/Habilitation Specialist Tijeras, NM

Practice location

Address
85 Lagarto Rd, Tijeras, NM 87059-7454
Phone
(505) 917-2835

Registered specialties

Day Training/Habilitation Specialist Primary
Nursing Service Related Providers Taxonomy 373H00000X Licence 4016 (NM)

Registry record

NPI
1093191470
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Aug 2015
Record last updated
7 Aug 2015

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.