Provider Demographics
NPI:1154690816
Name:BEYRER, KATHRYN E BEYRER (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E BEYRER
Last Name:BEYRER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 SANTA MARINA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-5431
Mailing Address - Country:US
Mailing Address - Phone:415-710-5914
Mailing Address - Fax:415-641-4273
Practice Address - Street 1:368 HAYES ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4421
Practice Address - Country:US
Practice Address - Phone:415-710-5914
Practice Address - Fax:415-641-4273
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG823342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry