BEVERLY TEDFORD (NPI# 1558580662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558580662 |
Entity Type | Individual |
Full Name | BEVERLY TEDFORD |
Credential | LPN |
Practice Address |
601 Foote St Corinth MS 38834-4834 |
Mailing Address |
Po Box 839 Corinth MS 38835-0839 |
Practice Telephone | 6622864424 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
A810164 | MS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | DEA - LPC | MT0796550 | 01 |
Street Address |
601 FOOTE ST |
City | CORINTH |
State | MS |
Zip Code | 38834-4834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952344483 | Marshall Paul Vance | Psychiatry & Neurology | 601 Foote St, Corinth, MS 38834-4834 | 2006-06-13 |
1619324571 | Makaya Workman | Social Worker | 601 Foote St, Corinth, MS 38834-4834 | 2016-05-20 |
1417348681 | Region Iv Mhs | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2015-02-10 |
1740600808 | Region Iv | Nursing Care | 601 Foote St, Corinth, MS 38834-4834 | 2014-04-16 |
1578903472 | Anna Grace Mcferrin | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
1013357938 | Thomas Wilson Harington | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-25 |
1518306711 | Kristin Leigh Green | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-20 |
1669715975 | Diana Alyse Harrell | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-04-04 |
1457691867 | Susan Lamb Hardin | Registered Nurse | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-21 |
1114267937 | Tiffany Hope Wilbanks | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
Find all providers in zip 38834 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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1700271251 | Amber Kuntz Psychiatry | Psychologist | 1704 Andrew Ct, Corinth, TX 76210-3074 | 2015-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
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1447886502 | Rico Smith | Psychologist | 314 E Green St, Macon, MS 39341-2850 | 2020-03-19 |
1588846281 | Behavioral Medicine Clinic,pa | Psychologist | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2007-12-04 |
1922374057 | Toni L Ladner | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2012-03-22 |
1225303068 | Mindful Solution, LLC | Psychologist | 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 | 2012-03-13 |
1790087393 | Jackson Psychiatry Group | Psychologist | 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 | 2010-12-02 |
1629378971 | Pmt Clinic | Psychologist | 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 | 2010-11-02 |
1386860898 | Wellness Clinic, P.C. | Psychologist | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2007-04-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.