Individual
DUSTIN RYAN BEEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
44899 CENTRE CT, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Mailing address
44899 CENTRE CT, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301014208
MI
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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