Individual
DR. JULIE FOUTZ BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
(702) 527-7939
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY0376
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602079
—
NV
Enumeration date
05/16/2007
Last updated
06/09/2020
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