Provider Demographics
NPI:1902642002
Name:BEYAH, TABINAH (MA PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:TABINAH
Middle Name:
Last Name:BEYAH
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LUDLOW PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07114-1152
Mailing Address - Country:US
Mailing Address - Phone:917-263-0268
Mailing Address - Fax:
Practice Address - Street 1:649 CHANCELLOR AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3029
Practice Address - Country:US
Practice Address - Phone:347-746-0002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist