Individual
JAN M BESTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 003290
GA
103TC0700X
Clinical Psychologist
PY60031165
WA
103TF0200X
Forensic Psychologist
PSY003290
GA
103TF0200X
Forensic Psychologist
Primary
PY 60031165
WA
Other
Enumeration date
03/03/2010
Last updated
03/04/2016
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