Individual
FRANK J. BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(480) 344-2002
(480) 649-0783
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4325
AZ
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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