National Provider Identifier
Beverly Boughton
Beverly Boughton is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 737-6151.
Profile Overview
- NPI
- 1528299492
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 27, 2009
- Last Updated
- December 27, 2018
Practice Location
- 711 Sullivan St
- Elmira, NY 14901-2322
Phone: (607) 737-6151
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1528299492
- Entity Type
- Individual
- Last Name
- Boughton
- First Name
- Beverly
- Mailing Street Address
- 711 Sullivan St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2322
- Mailing Country
- US
- Mailing Phone
- (607) 737-6151
- Mailing Fax
- (607) 734-2943
- Practice Street Address
- 711 Sullivan St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2322
- Practice Country
- US
- Practice Phone
- (607) 737-6151
- Practice Fax
- (607) 734-2943
- Enumeration Date
- July 27, 2009
- Last Updated
- December 27, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)