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Individual

DR. DALE WESLEY BEAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
250 W 1ST ST, SUITE 242, CLAREMONT, CA 91711-4736
(909) 621-9023
(909) 482-2211
Mailing address
250 W 1ST ST, STE 242, CLAREMONT, CA 91711-4742
(909) 621-9023
(909) 626-2405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14704
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EJ024A
PTAN
CA
Enumeration date
12/01/2005
Last updated
01/03/2018
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