Provider Demographics
NPI:1396942249
Name:ROBERTS, BEEBE E (MA)
Entity type:Individual
Prefix:MRS
First Name:BEEBE
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 ARLINGTON AVNUE
Mailing Address - Street 2:ADULT AND CHILD DEVELOPMENT PROFESSIONALS
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-933-9276
Mailing Address - Fax:205-933-9280
Practice Address - Street 1:2305 ARLINGTON AVNUE
Practice Address - Street 2:ADULT AND CHILD DEVELOPMENT PROFESSIONALS
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-933-9276
Practice Address - Fax:205-933-9280
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC 1128101YP2500X
ALLMFT 65106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist