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Organization

DR BEAMAN PSYCHOLOGICAL PROFESSIONAL CORPORATION

Active
Other names
Dale Beaman
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE BEAMAN PH.D. (PRESIDENT)
(909) 621-9023
Entity
Organization

Contact information

Practice address
250 W 1ST ST, 242, CLAREMONT, CA 91711-4736
(909) 621-9023
(909) 482-2211
Mailing address
8433 VALLE VISTA PL, RANCHO CUCAMONGA, CA 91730-1835
(909) 621-9023
(909) 482-2211

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14704
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659355881
INDIVIDUAL NPI
CA
Enumeration date
02/27/2013
Last updated
02/28/2013
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