Individual
JOHN A. BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
495
MA
103TS0200X
School Psychologist
495
MA
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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