Provider Demographics
NPI:1023303526
Name:BEARY, CHRISTINE ELIZABERH
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELIZABERH
Last Name:BEARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 DEXTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2021
Mailing Address - Country:US
Mailing Address - Phone:617-678-5206
Mailing Address - Fax:
Practice Address - Street 1:57 DEXTER RD
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2021
Practice Address - Country:US
Practice Address - Phone:617-678-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health