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Individual

DR. BRUCE W BEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4200 SOMERSET DR, SUITE 254, PRAIRIE VILLAGE, KS 66208-5217
(913) 381-1830
(913) 381-1830
Mailing address
10850 KING ST, OVERLAND PARK, KS 66210-1267
(913) 381-1830
(913) 381-1830

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0401
KS

Other

Enumeration date
12/26/2006
Last updated
07/09/2007
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