MISS MARY BETH HALDEMAN LPC NPI 1417088220

NPI Information

NPI: 1417088220
Provider Name: MISS MARY BETH HALDEMAN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-1200
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MISS Mary Beth Haldeman, LPC is a professional counselor in Poplar Bluff, MO. MISS Mary Beth Haldeman, LPC NPI is 1417088220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3001 WARRIOR LN
POPLAR BLUFF, MO
ZIP 63901-685
Phone: (573) 686-1200
Fax: (573) 686-1029

The enumeration date for this NPI number is 3/7/2007 and was last updated on 3/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2007002228	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2651	OTHER		EAP IMPACT
2	494914906	MEDICAID	MISSOURI
3	11792021	OTHER		CAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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