Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather L Beaudry, PHD

Individual provider Clinical Psychologist · NPI 1760464937

Heather L Beaudry, PHD is a Clinical Psychologist in Johnson City, Tennessee. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
41
Licensed in
TN
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1907 N Roan St Ste 207
Johnson City, TN 37601-3182
Phone: (423) 282-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence TN2735 (TN)

Record details

NPI number1760464937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 15, 2005
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address1907 N Roan St Ste 207, Johnson City, TN 37601-3182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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