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DR. JUDITH ANNE BEVIS PH.D.

Clinical Neuropsychologist

Marblehead, Massachusetts

Provider NPI: 1194792226

Provider Information:
DR. JUDITH ANNE BEVIS PH.D.
Gender: F
Sole Proprietor


Practice Location:
40 SOUTH ST SUITE 201 MARBLEHEAD, MA 01945 US
Tel: 781-599-6582  Fax: --

Business Mailing Address:
40 SOUTH ST SUITE 201 MARBLEHEAD, MA 01945 US
Tel: 781-599-6582  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA4250
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA4250
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA4250

Other Provider Identifiers:

IssuerNumberStateType
0520217MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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