IndividualActive
Nicole Beadles, PHD
NPI 1194189944 · Psychologist · Fairfax, VA
Nicole Beadles, PHD is a Psychologist provider in Fairfax, VA (NPI 1194189944).
Provider details
- NPI number
- 1194189944
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 0810003878 (VA)
Practice location
3925 Blenheim Blvd Ste 52a
Fairfax, VA 22030-2426
Phone: (571) 354-0844
Approximate (ZIP-level) locationGet directions
Mailing address
1517 Inlet Ct
Reston, VA 20190-4422
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.