Individual
BEVERLY TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 286-4424
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
A810164
MS
Other
Enumeration date
04/25/2007
Last updated
03/07/2023
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