Supler, Beverly L

Supler, Beverly L is an sole proprietor health care provider with primary practice located at 11825 Rock Landing Dr , Newport News VA 23606-4236. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Supler, Beverly L can be contacted via phone (757) 873-1736.

Contact Information

Primary practice address
11825 Rock Landing Dr Newport News VA 23606-4236
Phone: (757) 873-1736
Fax: (757) 873-1028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701002835 Virginia

Profile Details

NPI number 1740373000
LBN Legal business name Supler, Beverly L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Dec 24th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740373000 NPPES
Virginia MEDICAID 005-40-8962

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