Provider Demographics
NPI:1922334366
Name:BEEBE, AMY B (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:BEEBE
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 1:2034 EXETER RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3944
Mailing Address - Country:US
Mailing Address - Phone:901-753-6773
Mailing Address - Fax:
Practice Address - Street 1:2034 EXETER RD
Practice Address - Street 2:SUITE 4
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3944
Practice Address - Country:US
Practice Address - Phone:901-753-6773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNP1666103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist