Individual
BEVERLY L SUPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11825 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4236
(757) 873-1736
(757) 873-1028
Mailing address
11825 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4236
(757) 873-1736
(757) 873-1028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701002835
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005-40-8962
—
VA
Enumeration date
10/01/2006
Last updated
12/24/2013
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