Heather L Beaudry in Johnson City - Clinical
Heather L Beaudry - NPI 1760464937
Heather L Beaudry is a Clinical in Johnson City, Tennessee. Heather L Beaudry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather L Beaudry is 1760464937. The last update date is 2021-04-12.
Heather L Beaudry's current location address is 1907 N Roan St Ste 207, Johnson City, Tennessee. You can contact this provider via phone number 4232820164. The mailing address for Heather L Beaudry is 1907 N Roan St Ste 207, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather L Beaudry |
|---|---|
| Address | 1907 N Roan St Ste 207, Johnson City, Tennessee |
| Phone Number | 4232820164 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1760464937 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2021-04-12 |
Provider Mailing Address Detail
| Address | 1907 N Roan St Ste 207 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376013182 |
| Phone Number | 4232820164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | TN2735 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42017 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Heather L Beaudry by the Centers for Medicare & Medicaid Services?
The Heather L Beaudry has been issued the NPI (National Provider Identifier) 1760464937. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Heather L Beaudry is physically located?
The Heather L Beaudry is physically situated at the following address: 1907 N Roan St Ste 207, Johnson City, TN, 376013182.
What is Heather L Beaudry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Heather L Beaudry is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760464937 to Heather L Beaudry?
The Centers for Medicare & Medicaid Services assigned the 1760464937 to Heather L Beaudry on 2005-11-15.
When was the information pertaining to Heather L Beaudry most recently updated or revised?
The details related to Heather L Beaudry, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-12.
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