Kendra Beitz Thompson, PH.D.
Individual provider Active NPI Clinical Psychologist · Reno, NV
NPI 1760604102 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1760604102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY0532 (NV)
- Practice address
- 5421 Kietzke LN.
Ste. 101
Reno, NV 89511-3628 - Phone
- (775) 852-3335
- Fax
- (775) 828-7837
- NPI assigned
- May 3, 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)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0532 | NV | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0532 | NV | Yes |
Addresses
Primary practice location
5421 Kietzke LN.
Ste. 101
Reno, NV 89511-3628
Mailing address
5421 Kietzke LN.
Ste. 101
Reno, NV 89511-3628
Phone (775) 852-3335
Other names
- Kendra Beitz
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. 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.