Provider Demographics
NPI:1306939848
Name:RICHIE, BETH SPERBER (PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:SPERBER
Last Name:RICHIE
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 1:8830 CAMERON CT.
Mailing Address - Street 2:#403
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-523-8882
Mailing Address - Fax:301-565-2858
Practice Address - Street 1:8830 CAMERON CT.
Practice Address - Street 2:#403
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-523-8882
Practice Address - Fax:301-565-2858
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3371103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist