Doctor Name: | MRS. CARRIE PRITCHARD BEARDEN |
NPI Number: | 1053639377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC |
License Number: | 2226 |
Business Practice Address: | 1017 Medical Center Pkwy Selma, AL - 367016780 |
Business Phone Number: | 3348752100 |
Business Fax Number: | 3344186540 |
Mailing Address: | 1017 Medical Center Pkwy, SELMA |
State: | AL |
Postal Code: | 367016780 |
Phone Number: | 3348752100 |
Fax Number: | 3344186540 |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 05/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |