Organization
MIRIAM BEADLE, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA SMITH (OFFICE MANAGER)
(202) 536-5602
Entity
Organization
Contact information
Practice address
3000 CONNECTICUT AVE NW, SUITE #136, WASHINGTON, DC 20008-2509
(202) 536-5602
Mailing address
PO BOX 638, COLUMBIA, MD 21045-0638
(202) 536-5602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000047
DC
Other
Enumeration date
08/07/2007
Last updated
02/19/2008
Update your record
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