| Lynn M. Bever Llc | |
|
1501 Lark Ln Blacksburg VA 24060-2658 | |
| (540) 239-0598 | |
| (540) 961-2694 |
| Full Name | Lynn M. Bever Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1501 Lark Ln, Blacksburg, Virginia |
| Authorized Official Name and Position | Lynn M. Bever (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5402390598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn M. Bever Llc Po Box 11088 Blacksburg VA 24062-1088 Ph: (540) 239-0598 | Lynn M. Bever Llc 1501 Lark Ln Blacksburg VA 24060-2658 Ph: (540) 239-0598 |
| NPI Number | 1770714487 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 07/29/2009 |
| Medicare PECOS PAC ID | 1254470446 |
|---|---|
| Medicare Enrollment ID | O20091201000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770714487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810003961 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810003961 (Virginia) | Secondary |
| Provider Name | Lynn M Bever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114173598 PECOS PAC ID: 5092877977 Enrollment ID: I20081231000375 |
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