Dr. Eden Marie Beesley, Psy.D
Psychologist, Clinical in Tacoma, WA. Individual provider (NPI-1).
NPI number1336715218
StatusActive
Last updated in NPPESJun 1, 2021
Details
- NPI
- 1336715218
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eden Marie Beesley
- Credential
- Psy.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2021
- Certification date
- Jun 1, 2021
- Last updated
- Jun 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY60515961 | WA | Yes |
Practice location
2215 N 30th StTacoma, WA 98403-3350
Phone 888-852-1988
Mailing address
27547 254th Way SeMaple Valley, WA 98038-2045
Phone 775-771-0522
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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