Individual
ASHLEY HOWARD BEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
701 DEVONSHIRE DR STE 207, CHAMPAIGN, IL 61820-7337
(217) 352-9206
Mailing address
2804 ROBESON PARK DR, CHAMPAIGN, IL 61822-7600
(217) 352-3591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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