Individual
DR. JOHN T BEETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203
(704) 355-4300
Mailing address
5025 AIRPORT CENTER PKWY BLDG L, CHARLOTTE, NC 28208-5885
(704) 512-7105
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5026
NC
Other
Enumeration date
07/25/2006
Last updated
10/31/2018
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