Organization
BEACON PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BRYCE BENNETT PSY.D. (OWNER)
(801) 857-0867
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD, MESA, AZ 85210-3064
(480) 282-4237
Mailing address
5624 S CROWS NEST RD, TEMPE, AZ 85283-2111
(801) 857-0867
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649637398
NPI
AZ
Enumeration date
07/30/2018
Last updated
07/30/2018
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