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Individual

ANTHONY BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
909 9TH AVE STE 208, FORT WORTH, TX 76104-3931
(833) 369-1144
Mailing address
909 9TH AVE STE 208, FORT WORTH, TX 76104-3931
(338) 369-1144

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
37328
TX
103TC0700X
Clinical Psychologist
Primary
37328
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3637548-02
TX
01
37328
LICENSE
TX
Enumeration date
09/16/2011
Last updated
07/31/2025
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