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Individual

DOUGLAS G BEATTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
193 PIERCE HILL RD, VESTAL, NY 13850-5305
(607) 754-2823
Mailing address
193 PIERCE HILL RD, VESTAL, NY 13850-5305
(607) 754-2823

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0004861
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135685
CDPHP VALUE OPTIONS
NE
Enumeration date
11/08/2006
Last updated
03/13/2009
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