Most Relevant Information
Provider Data
| NPI Number: | 1003282047 |
| Provider Name: | BEVERLY PRICE |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2015 |
| Last Updated: | 02/17/2017 |
Provider Practice Location
1310 CHINOOK LN
PUEBLO
CO
810011851
Practice Location Phone/Fax
| Phone: | 7195452746 |
| Fax: | 7194231183 |
Provider Mailing Location
41 MONTEBELLO RD
SUITE 200
PUEBLO
CO
810011379
Provider Mailing Phone/Fax
| Phone: | 7195452746 |
| Fax: | 7195429638 |