Provider Demographics
NPI:1528699097
Name:BEAMER, SARAH LABOWSKIE (EDS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LABOWSKIE
Last Name:BEAMER
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12057 ZACHARY TAYLOR HWY
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22567-2546
Mailing Address - Country:US
Mailing Address - Phone:757-870-9646
Mailing Address - Fax:
Practice Address - Street 1:450 RADIO LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-1521
Practice Address - Country:US
Practice Address - Phone:540-825-9484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0813000210103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool