Jacqueline Beary
Community/Behavioral Health in Mentor, OH. Individual provider (NPI-1).
NPI number1952968398
StatusActive
Last updated in NPPESMay 21, 2019
Details
- NPI
- 1952968398
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Beary
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2019
- Last updated
- May 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | PN156449 | OH | Yes |
| 164W00000X | Licensed Practical Nurse | PN156449 | OH |
Practice location
8445 Munson RdMentor, OH 44060-2410
Phone 440-225-1700 · Fax 440-205-2441
Mailing address
8445 Munson RdMentor, OH 44060-2410
Phone 440-225-1700 · Fax 440-205-2441
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