Individual
DR. MARK BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Mailing address
11417 W PICCADILLY RD, AVONDALE, AZ 85392-3428
(805) 200-9336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
94028875
CA
103TC0700X
Clinical Psychologist
Primary
PA160
NV
103TC0700X
Clinical Psychologist
Primary
PSY-T-000071
AZ
390200000X
Student in an Organized Health Care Education/Training Program
94028875
CA
Other
Enumeration date
11/13/2024
Last updated
05/01/2026
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