Peter A. Beddow, Phd, Llc is a
Behavior Analyst based in Antioch, Tennessee. Peter A. Beddow, Phd, Llc is licensed to practice in Colorado (license number 1-12-11796) and their current practice location is
100 Brian Cir, Antioch, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(615) 403-8206.
NPI number for Peter A. Beddow, Phd, Llc is 1811320435 and their current mailing address is 100 Brian Cir, Antioch, Tennessee. Peter A. Beddow, Phd, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811320435.
Healthcare Provider's Profile
| Full Name | Peter A. Beddow, Phd, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 100 Brian Cir, Antioch, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811320435
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 10/02/2015
Medical Identifiers
Medical identifiers for Peter A. Beddow, Phd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811320435 | NPI | - | NPPES |
| 1524627 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 5228 (Tennessee) | Secondary |
| 103K00000X | Behavior Analyst | 1-12-11796 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter A. Beddow, Phd, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Peter A. Beddow, Phd, Llc 100 Brian Cir, Antioch, TN 37013-4340 Ph: (615) 403-8206 | Peter A. Beddow, Phd, Llc 100 Brian Cir, Antioch, TN 37013-4340 Ph: (615) 403-8206 |
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