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General NPI Number Information
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NPI Number | 1740425636
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Entity Type | Individual
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Provider Name | MARY BETH ANDREWS PHD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 4533 MARATHON PKWY
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City | LITTLE NECK
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State | NY
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Zip | 11362-1253
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Country | US
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Telephone | 646-220-7007
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Fax | 718-634-8432
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Provider Business Mailing Address
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Address Line | 169 BEACH 132ND ST
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City | BELLE HARBOR
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State | NY
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Zip | 11694-1407
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Country | US
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Telephone | 646-220-7007
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Fax | 718-634-8432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 011671
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License Number State | NY
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