Individual
DR. RICHARD EDISON BETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339037227
—
AL
05
—
339059211
—
AL
01
—
51524235
BLUE CROSS & BLUE SHIELD
AL
01
—
51524272
AMERICAN BEHAVIORAL
AL
Enumeration date
11/28/2006
Last updated
11/21/2012
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