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DR. MIRIAM E BEADLE PH.D

Clinical Neuropsychologist

Washington, District Of Columbia

Provider NPI: 1669445821

Provider Information:
DR. MIRIAM E BEADLE PH.D
Gender: F
Sole Proprietor


Practice Location:
3000 CONNECTICUT AVE NW SUITE #136 WASHINGTON, DC 20008 US
Tel: 202-536-5602  Fax: 202-263-1168

Business Mailing Address:
PO BOX 638  COLUMBIA, MD 21045 US
Tel: 202-536-5602  Fax: 202-263-1168

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
DCPSY1000047

Other Provider Identifiers:

IssuerNumberStateType
492069DC04
P65263DC02
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS DC - Page 1

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