Healthcare Provider Details

I. General information

NPI: 1851235717
Provider Name (Legal Business Name): WINIFRED BEDFORD PSYCHOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 ADMINISTRATION RD UNIT 4264
OAK RIDGE TN
37830-6967
US

IV. Provider business mailing address

108 ADMINISTRATION RD UNIT 4264
OAK RIDGE TN
37830-6967
US

V. Phone/Fax

Practice location:
  • Phone: 615-988-6704
  • Fax:
Mailing address:
  • Phone: 615-988-6704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. WINIFRED BEDFORD
Title or Position: PSYCHOLOGIST
Credential: PH.D., HSP
Phone: 615-988-6704