Individual
DR. BEATRICE ANTLY TATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1900 N 18TH ST, SUITE 414, MONROE, LA 71201-4432
(318) 410-1555
Mailing address
1900 N 18TH ST, SUITE 414, MONROE, LA 71201-4432
(318) 410-1555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1736
LA
101YM0800X
Mental Health Counselor
Primary
1736
LA
101YP2500X
Professional Counselor
1736
LA
102L00000X
Psychoanalyst
1736
LA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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