Individual
MRS. ABIGAIL MARIE SHEPHERD BEYENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 ORONDO AVE STE 1, WENATCHEE, WA 98801
(509) 662-6000
(509) 664-4589
Mailing address
600 ORONDO AVE STE 1, WENATCHEE, WA 98801-2800
(509) 662-6000
(509) 664-3589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60859345
WA
103TC0700X
Clinical Psychologist
Primary
PY61001510
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108400
—
WA
Enumeration date
11/24/2014
Last updated
08/26/2020
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