Provider Demographics
NPI:1407223464
Name:BEARD, TARYN (PSYD)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:BEARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 N RUBY ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3181
Mailing Address - Country:US
Mailing Address - Phone:310-766-4403
Mailing Address - Fax:
Practice Address - Street 1:507 N RUBY ST UNIT 1
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3181
Practice Address - Country:US
Practice Address - Phone:310-766-4403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program