Individual
ALTHEA N BEAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, CPD, LMT
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
317750
—
225700000X
Massage Therapist
023485
NY
225700000X
Massage Therapist
577726-09
—
374J00000X
Doula
6-202019
—
Other
Enumeration date
06/01/2012
Last updated
11/17/2020
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