Individual
DR. ROBERT BEEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 769-4005
(219) 937-5808
Mailing address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 769-4005
(219) 937-5808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20043875A
IN
103TC0700X
Clinical Psychologist
Primary
20053875B
IN
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/02/2023
Last updated
11/04/2024
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