Individual
MS. BEVERLY A MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1087 WARWICK AV, WARWICK, RI 02888
(401) 461-5367
(401) 461-3165
Mailing address
1087 WARWICK AVE, WARWICK, RI 02888
(401) 461-5367
(401) 461-3165
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5580
RI
2084P0804X
Child & Adolescent Psychiatry Physician
58264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022432
VALUE OPTIONS
—
01
—
1022550
BEACON
RI
01
—
1554968
UNITED HEALTH
RI
01
—
200659
BLUE CROSS
RI
05
—
9020065
—
RI
Enumeration date
02/08/2006
Last updated
07/08/2007
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