Abbie Beacham, PH.D.
Individual provider Active NPI Clinical Psychologist · Louisville, KY
NPI 1043435506 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043435506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- KY1262 (KY)
- Practice address
- 220 Abraham Flexner Way
Louisville, KY 40202-3826 - Phone
- (502) 582-7484
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1262 | KY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | KY1262 | KY | Yes |
Addresses
Primary practice location
220 Abraham Flexner Way
Louisville, KY 40202-3826
Mailing address
PO Box 2587
Louisville, KY 40201-2587
Phone (502) 582-7484
Other providers in Louisville, KY
- Alexandra Bea
- Angela M Beach
- Ariana Leigh Beach
- Cushena Beach
- Susan M. Beach
- Timothy Beacham
- Garth Mervid Beache
- Nathaniel Beachy
- Beacon House Aftercare Program
- Beacon Senior Solutions, LLC
All providers in Louisville, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.