Provider Demographics
NPI:1063885952
Name:EYLER, BETH ANN (LICSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:EYLER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 8TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3399
Mailing Address - Country:US
Mailing Address - Phone:503-997-8049
Mailing Address - Fax:
Practice Address - Street 1:101 E 8TH ST STE 260
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3399
Practice Address - Country:US
Practice Address - Phone:503-997-8049
Practice Address - Fax:360-282-1036
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACAAR.CG.60603009101YM0800X
WALW60946522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health