Beadles, Nicole
Beadles, Nicole is an individual health care provider with primary practice located at 3925 Blenheim Blvd Ste 52A , Fairfax VA 22030-2426. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Beadles, Nicole can be contacted via phone (571) 354-0844.Contact Information
Primary practice address
3925 Blenheim Blvd Ste 52A
Fairfax VA 22030-2426
Phone: (571) 354-0844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810003878 | Virginia |
Profile Details
| NPI number | 1194189944 |
|---|---|
| LBN Legal business name | Beadles, Nicole |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Jul 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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