Individual
DR. ROBERT BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
38257 DOVE ST, AITKIN, MN 56431-2102
(218) 927-4127
(218) 927-4127
Mailing address
38257 DOVE ST, AITKIN, MN 56431-2102
(218) 927-4127
(218) 927-4127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45060BE
PROVIDER FOR BLUE CROSS
MN
Enumeration date
02/15/2007
Last updated
07/09/2007
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