Erik Dmitri Beaver, PH.D. Valid NPI
Individual provider · Psychologist · Watertown, WI
- NPI
- 1881679975
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- 1882 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-12
- Last updated
- 2010-07-20
Practice location
129 Hospital Dr
Watertown, WI 53098-3334
(920) 262-4800