Individual
MS. NIYA SHARRON BEALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3801 SPRING STREET, RACINE, WI 53405
(262) 687-4011
Mailing address
5326 N 46TH ST, MILWAUKEE, WI 53218-3423
(414) 217-3058
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
694414
WI
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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