Individual
DR. JAY ROGERS BEATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
46 W AVON RD, STE 302, AVON, CT 06001-3679
(860) 810-0425
(860) 404-0870
Mailing address
46 W AVON RD, STE 302, AVON, CT 06001-3679
(860) 810-0425
(860) 404-0870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002304
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208048
—
CT
Enumeration date
11/16/2006
Last updated
12/12/2017
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