Individual
RONALD J BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD HSPP
Contact information
Practice address
3170 AUTUMN RUN, BARGERSVILLE, IN 46106-8369
(317) 371-1681
Mailing address
18 SOUTH INDIANA STREET, MOORESVILLE, IN 46158-1648
(317) 371-1681
(317) 831-2686
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042164A
IN
106H00000X
Marriage & Family Therapist
35001531A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200933720
—
IN
Enumeration date
03/20/2006
Last updated
12/11/2019
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