Basic Information
| Provider Information | |||||||||
| NPI: | 1144247347 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEATO | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | FRANCES | ||||||||
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| Credential: | MA, LLP, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15450 E JEFFERSON AVE STE 180 | ||||||||
| Address2: | |||||||||
| City: | GROSSE POINTE PARK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482302031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5868228832 | ||||||||
| FaxNumber: | 5867530404 | ||||||||
| Practice Location | |||||||||
| Address1: | 15450 E JEFFERSON AVE STE 180 | ||||||||
| Address2: | |||||||||
| City: | GROSSE POINTE PARK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482302031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5868228832 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2006 | ||||||||
| LastUpdateDate: | 03/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 6301013169 | MI | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.