| NPI | 1811320435 |
|---|---|
| Other Name | PETER A. BEDDOW, PHD, LLC |
| Entity Type | Organization |
| Authorized Contact | PETER A. BEDDOW President/Owner 615-403-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-12-11796) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5228) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2015-10-02 |