| Dr. Andrea Bevan, Psychology, Pllc | |
|
2518 Anthem Village Dr Ste 103 Henderson NV 89052-5554 | |
| (702) 551-4847 | |
| Not Available |
| Full Name | Dr. Andrea Bevan, Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2518 Anthem Village Dr Ste 103, Henderson, Nevada |
| Authorized Official Name and Position | Andrea Bevan (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7025514847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Andrea Bevan, Psychology, Pllc 2518 Anthem Village Dr Ste 103 Henderson NV 89052-5554 Ph: (702) 551-4847 | Dr. Andrea Bevan, Psychology, Pllc 2518 Anthem Village Dr Ste 103 Henderson NV 89052-5554 Ph: (702) 551-4847 |
| NPI Number | 1518567155 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 8527470780 |
|---|---|
| Medicare Enrollment ID | O20201210002984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518567155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Andrea L Bevan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366084311 PECOS PAC ID: 8224456579 Enrollment ID: I20200917002868 |
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