Individual
DR. JESSICA LORD BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 HEBRON AVE, SUITE 111, GLASTONBURY, CT 06033-2176
(860) 633-8155
(860) 633-8176
Mailing address
366 ASH SWAMP RD, GLASTONBURY, CT 06033-3504
(860) 729-3963
(860) 633-8176
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2864
CT
Other
Enumeration date
04/02/2007
Last updated
09/23/2022
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