Individual
MR. PATRICK J BEAHON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
108 MASON ST, BRANDON, FL 33511-5210
(813) 681-7441
(813) 689-3815
Mailing address
8120 STONE PATH WAY, TAMPA, FL 33647-3631
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS0000619
FL
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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