Most Relevant Information
Provider Data
| NPI Number: | 1003826397 |
| Provider Name: | DOUGLAS BEAVEN SPOEHR LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 102985 |
Most Important Dates
| Enumeration Date: | 08/09/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
725 NORTH ST
PITTSFIELD
MA
012018501
Practice Location Phone/Fax
| Phone: | 4134472655 |
| Fax: | 4134472656 |
Provider Mailing Location
725 NORTH ST
DEPT OF PSYCHIATRY
PITTSFIELD
MA
012018501
Provider Mailing Phone/Fax
| Phone: | 4134472655 |
| Fax: | 4134472656 |