Individual
MARK A BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.S
Contact information
Practice address
26751 N 97TH LN, PEORIA, AZ 85383-2929
(623) 206-1826
Mailing address
26751 N 97TH LN, PEORIA, AZ 85383-2929
(623) 206-1826
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AK
Other
Enumeration date
03/19/2007
Last updated
07/26/2007
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