Organization
JOSEPH BEENEY PH D PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD BEENEY PH.D. (PRESIDENT)
(707) 972-5089
Entity
Organization
Contact information
Practice address
650 N MAIN ST, FORT BRAGG, CA 95437-3220
(707) 421-8884
Mailing address
720 N HARRISON ST, FORT BRAGG, CA 95437-3125
(707) 421-8884
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/18/2023
Last updated
05/15/2023
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