Individual
DR. BARBARA A BEACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5045 N MAIN ST, SUITE 340, DAYTON, OH 45415-3698
(937) 830-1102
(937) 277-9140
Mailing address
1244 W HILLCREST AVE, DAYTON, OH 45406-1917
(937) 277-9140
(937) 277-9140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151437
—
OH
Enumeration date
01/30/2006
Last updated
07/08/2007
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