Individual
DAVID J BEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1500 DODSON AVE, STE 240, FORT SMITH, AR 72901-5182
(479) 709-7455
(479) 709-7456
Mailing address
PO BOX 402330, ATLANTA, GA 30384-2330
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100838330A
—
OK
05
—
145577019
—
AR
Enumeration date
10/05/2005
Last updated
08/13/2010
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