Individual
DR. JONATHAN PAUL BEARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
221 S MAIN ST, STE 100, ROYAL OAK, MI 48067-2611
(248) 545-9200
Mailing address
922 MIDLAND BLVD, ROYAL OAK, MI 48073-2886
(248) 588-9058
(248) 588-9058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012051
MI
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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