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Individual
DR. KRISTIN LEE BEASLEY
Active
Individual
DR. KRISTIN LEE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSB94020449
CA
103TC0700X
Clinical Psychologist
Primary
PSB94020449
CA
103TC1900X
Counseling Psychologist
PSB94020449
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSB94020449
CA
103TF0000X
Family Psychologist
PSB94020449
CA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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