Individual
GARY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(856) 979-8341
Mailing address
525 S 4TH ST, PHILADELPHIA, PA 19147-1570
(267) 861-3685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002936-L
PA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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