Beadles, Nicole

Beadles, Nicole is an individual health care provider with primary practice located at 3925 Blenheim Blvd Ste 52A , Fairfax VA 22030-2426. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Beadles, Nicole can be contacted via phone (571) 354-0844.

Contact Information

Primary practice address
3925 Blenheim Blvd Ste 52A Fairfax VA 22030-2426
Phone: (571) 354-0844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810003878 Virginia

Profile Details

NPI number 1194189944
LBN Legal business name Beadles, Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated Jul 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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