Provider Demographics
NPI:1194176768
Name:NEW BEGINNINGS NEUROPSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:NEW BEGINNINGS NEUROPSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BEADLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:940-595-9588
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0015
Mailing Address - Country:US
Mailing Address - Phone:469-731-5440
Mailing Address - Fax:469-731-5537
Practice Address - Street 1:7552 MAIN ST
Practice Address - Street 2:BUILDING B
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-3448
Practice Address - Country:US
Practice Address - Phone:469-731-5440
Practice Address - Fax:469-731-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34764251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health