Individual
DR. JUDITH A BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24500 FORD RD, DEARBORN HEIGHTS, MI 48127-3182
(313) 563-0919
(313) 563-0826
Mailing address
1937 LONE PINE RD, BLOOMFIELD HILLS, MI 48302-2522
(248) 626-9729
(248) 626-3299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301001417
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301001417
MI
103TA0700X
Adult Development & Aging Psychologist
6301001417
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301001417
MI
103TC0700X
Clinical Psychologist
6301001417
MI
103TC1900X
Counseling Psychologist
6301001417
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301001417
MI
103TF0000X
Family Psychologist
6301001417
MI
103TF0200X
Forensic Psychologist
6301001417
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301001417
MI
103TP2701X
Group Psychotherapy Psychologist
6301001417
MI
103TS0200X
School Psychologist
6301001417
MI
Other
Enumeration date
01/19/2007
Last updated
04/25/2008
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