Individual
GWENDOLYN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5674
(901) 287-6804
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-5674
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3610
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001506
—
MS
05
—
Q053006
—
TN
Enumeration date
08/30/2019
Last updated
11/06/2023
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