Provider Demographics
NPI:1164522454
Name:PARIKH, BEENA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEENA
Middle Name:M
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N ORANGE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6421
Mailing Address - Country:US
Mailing Address - Phone:407-228-7006
Mailing Address - Fax:
Practice Address - Street 1:1700 N ORANGE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6421
Practice Address - Country:US
Practice Address - Phone:407-228-7006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY005926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54433AMedicare ID - Type Unspecified