Individual
DR. BERNADETTE CYNTHIA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
18141 DIXIE HWY, SUITE 203, HOMEWOOD, IL 60430-2238
(708) 922-3530
(708) 922-3531
Mailing address
933 COLLEGE AVE, MATTESON, IL 60443-1822
(708) 748-2831
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634900
BCBS
IL
01
—
198803101304
HUMANA
IL
Enumeration date
03/22/2006
Last updated
08/10/2015
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