Individual
DR. RICHARD BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
275 HOSPITAL PKWY, SUITE 470, SAN JOSE, CA 95119-1106
(408) 972-3364
(408) 972-6088
Mailing address
275 HOSPITAL PKWY, SUITE 470, SAN JOSE, CA 95119-1106
(408) 972-3364
(408) 972-6088
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
1565
CO
103TH0100X
Health Service Psychologist
Primary
20328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07015654
—
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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