Christine K Beard, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY001940 Issued in GA

Practice address

2655 Dallas Hwy SW
Suite 230
Marietta, GA 30064-2597

Phone

(770) 419-5657

Fax

(770) 419-5658

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710034723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "SUITE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "770-419-5657",
            "fax_number": "770-419-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "SUITE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "770-419-5657",
            "fax_number": "770-419-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CHRISTINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Well Health Clinic LLC
• Trevor Beach, DPM
• Laurie G Beall, LPC
• Anastasia Dubose Bean, MS, NCC, LAPC
• Maren Elizabeth Bear, M.D.
• Emily Beard
• Kari E. Beard, OT
• Adam Bearden
• Bearhaven Holdings LLC
• Dale Mitchell Bearman, M.D.

• Counseling Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.