Provider Demographics
NPI:1316262074
Name:BEIKOUSI, IRINI (CHHP, IMD)
Entity type:Individual
Prefix:
First Name:IRINI
Middle Name:
Last Name:BEIKOUSI
Suffix:
Gender:F
Credentials:CHHP, IMD
Other - Prefix:
Other - First Name:EIRINI
Other - Middle Name:
Other - Last Name:BEIKOUSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:IMD, CHHP
Mailing Address - Street 1:380 MERRIMACK ST
Mailing Address - Street 2:SUITE 3-D
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5870
Mailing Address - Country:US
Mailing Address - Phone:978-222-3302
Mailing Address - Fax:978-222-3302
Practice Address - Street 1:380 MERRIMACK ST
Practice Address - Street 2:SUITE 3-D
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5870
Practice Address - Country:US
Practice Address - Phone:978-682-0200
Practice Address - Fax:978-222-3302
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth Educator