Healthcare Provider Details

I. General information

NPI: 1144247347
Provider Name (Legal Business Name): ERIN FRANCES BEATO MA, LLP, PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15450 E JEFFERSON AVE STE 180
GROSSE POINTE PARK MI
48230-2031
US

IV. Provider business mailing address

15450 E JEFFERSON AVE STE 180
GROSSE POINTE PARK MI
48230-2031
US

V. Phone/Fax

Practice location:
  • Phone: 586-822-8832
  • Fax:
Mailing address:
  • Phone: 586-822-8832
  • Fax: 586-753-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301013169
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: