Individual
DR. DONALD BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 IROQUOIS ST, UNIT 33, ROXBURY CROSSING, MA 02120-2848
(678) 612-1306
Mailing address
30 IROQUOIS ST, UNIT 33, ROXBURY CROSSING, MA 02120-2848
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY004019
GA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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