Beth, Richard Edison

Beth, Richard Edison is an individual health care provider with primary practice located at 3701 Loop Rd , Tuscaloosa AL 35404-5015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beth, Richard Edison can be contacted via phone (205) 554-2000.

Contact Information

Primary practice address
3701 Loop Rd Tuscaloosa AL 35404-5015
Phone: (205) 554-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1049 Alabama

Profile Details

NPI number 1548336977
LBN Legal business name Beth, Richard Edison
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Nov 21st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548336977 NPPES
Alabama MEDICAID 339037227
Alabama Other 51524235
Alabama MEDICAID 339059211
Alabama Other 51524272

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