MEDICARE: ANGELA MAY BEERS PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301014037	MI
2	103TC0700X	Clinical Psychologist	6301016513	MI

General Provider Information

NPI Number	:	1356570238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MAY BEERS PSYD

Provider Business Mailing Address
First Line	:	423 SYCAMORE ST
Second Line	:	SUITE 103
City	:	NILES
State	:	MI
Zip	:	49120-2374
Country	:	US
Telephone Number	:	269-351-4082
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 SYCAMORE ST
Second Line	:	SUITE 103
City	:	NILES
State	:	MI
Zip	:	49120-2374
Country	:	US
Telephone Number	:	269-351-4082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	07/15/2016

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Directions to “ ANGELA MAY BEERS PSYD” Practice Location

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