Beth Wilson, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BETH WILSON, LLC

Practice address

606 S Market St
Salem, VA 24153-5012

Phone

(423) 967-9951

NPI assigned

Jun 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alice Sydnor, LCP

Title

Owner

Phone

(423) 967-9951

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1386203586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S MARKET ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535012",
            "telephone_number": "423-967-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S MARKET ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535012",
            "telephone_number": "423-967-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH WILSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SYDNOR",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-967-9951",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel D Bennett, PAC
• Herbert C Berding Jr., MD
• Sabrina Marie Berger, D.O.
• Teresa Angelique Berry, RN
• Gary Lee Best, O.D.
• Amy Betterton, PA-C
• Arvin Sitaram Bhandari, M.D.
• Arvind Bhasin, M.D.
• Faraaz Bhatti, MD
• Roshan Bhowansingh, M.D.

• Psychologist in Salem, VA
• Providers in Salem, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.