Individual
DR. WILLIAM E. BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5214 SW 91ST WAY, #120, GAINESVILLE, FL 32608-4172
(352) 331-5520
(352) 331-6323
Mailing address
PO BOX 357703, GAINESVILLE, FL 32635-7703
(352) 331-5520
(352) 331-6323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75549
BLUE CROSS
FL
Enumeration date
06/16/2005
Last updated
10/13/2015
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