Provider Demographics
NPI:1548555006
Name:CARTWRIGHT, BEVERLY EXCELL (PSYD)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:EXCELL
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 EAST MADISON
Mailing Address - Street 2:SUITE #210
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112
Mailing Address - Country:US
Mailing Address - Phone:206-860-1752
Mailing Address - Fax:206-860-3530
Practice Address - Street 1:4105 EAST MADISON
Practice Address - Street 2:SUITE #210
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112
Practice Address - Country:US
Practice Address - Phone:206-860-1752
Practice Address - Fax:206-860-3530
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001907103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist