Mary B Beasley, MED. LPC MHSP

Individual provider Active NPI Counseling Psychologist · Ashland City, TN

NPI 1962044198 · NPPES record last updated Oct 9, 2019

Key facts

NPI
1962044198
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
605 (TN)
Practice address
1080 Little Marrowbone Rd
Ashland City, TN 37015
Phone
(615) 308-5564
NPI assigned
Oct 9, 2019
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

State licenses

LicenseStateTypeSpecialty
605TNMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 605 TN Yes

Addresses

Primary practice location

1080 Little Marrowbone Rd
Ashland City, TN 37015

Mailing address

1080 Little Marrowbone Rd
Ashland City, TN 37015
Phone (615) 308-5564

Other providers in Ashland City, TN

All providers in Ashland City, TN · Counseling Psychologist in Tennessee

Sources for this page

Verify at the official NPI Registry.