Individual
MYEIDA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BALLARD CLINIC, 7301 OHMS LANE, EDINA, MN 55439
(612) 787-2344
Mailing address
7301 OHMS LN STE 195, EDINA, MN 55439-2327
(612) 787-2344
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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