Shepherd Beyenberg, Abigail Marie
Shepherd Beyenberg, Abigail Marie is an individual health care provider with primary practice located at 600 Orondo Ave Ste 1 , Wenatchee WA 98801. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shepherd Beyenberg, Abigail Marie can be contacted via phone (509) 662-6000.Contact Information
Primary practice address
600 Orondo Ave Ste 1
Wenatchee WA 98801
Phone: (509) 662-6000
Fax: (509) 664-4589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60859345 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY61001510 | Washington |
Profile Details
| NPI number | 1043617707 |
|---|---|
| LBN Legal business name | Shepherd Beyenberg, Abigail Marie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Aug 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043617707 | NPPES |
| Washington | MEDICAID | 2108400 |
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