Individual
ELIZABETH BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
401 QUARRY RD, PALO ALTO, CA 94304-1419
(559) 165-0725
Mailing address
PO BOX 620689, WOODSIDE, CA 94062-0689
(440) 382-7518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A190304
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A190304
PHYSICIAN'S AND SURGEON'S LICENSE
CA
Enumeration date
03/22/2022
Last updated
08/01/2024
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