DR. Erik Dmitri Beaver, PH.D.

NPI #1881679975 in Watertown, Wisconsin

Provider Information

NPI Number: 1881679975
Entity Type: Individual
Name: DR. Erik Dmitri Beaver, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Dec 12, 2005
Last Updated: Jul 20, 2010

Practice Location

Address: 129 HOSPITAL DR
City: Watertown
State: Wisconsin
ZIP Code: 53098-3334
Phone: (920) 262-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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