Individual
MRS. AMY E BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APA
Contact information
Practice address
17707 DARDEN RD, SOUTH BEND, IN 46635-1111
(574) 850-4416
(574) 850-4416
Mailing address
17707 DARDEN RD, SOUTH BEND, IN 46635-1111
(574) 850-4416
(574) 850-4416
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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