Provider Demographics
NPI:1578736237
Name:BEVERLY J OXLEY, PHD PC
Entity Type:Organization
Organization Name:BEVERLY J OXLEY, PHD PC
Other - Org Name:PSYCHOLOGICAL RESOURCES
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:OXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-245-1813
Mailing Address - Street 1:63 SPRINGS STATION DR.
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30639
Mailing Address - Country:US
Mailing Address - Phone:706-246-0733
Mailing Address - Fax:
Practice Address - Street 1:63 SPRINGS STATION DR.
Practice Address - Street 2:
Practice Address - City:FRANKLIN SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30639
Practice Address - Country:US
Practice Address - Phone:706-246-0733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY2528103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA546540227AMedicaid