BEVERLY TEDFORD


Address: 601 Foote St, Corinth, MS 38834-4834
Phone: 6622864424

BEVERLY TEDFORD (NPI# 1558580662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
A810164 MS Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS DEA - LPC MT0796550 01

Office Location

Street Address 601 FOOTE ST
City CORINTH
State MS
Zip Code 38834-4834

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700271251 Amber Kuntz Psychiatry Psychologist 1704 Andrew Ct, Corinth, TX 76210-3074 2015-04-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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

Competitor

Search similar providers

City CORINTH
Zip Code 38834

Improve Information

Please comment or provide details below to improve the information on BEVERLY TEDFORD.

Dataset Information

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.

Trending Searches