| John W. Beaty, Ph.d.,p.c. | |
|
1701 N Collins Blvd Suite 210 Richardson TX 75080-3564 | |
| (972) 596-6351 | |
| (972) 231-4886 |
| Full Name | John W. Beaty, Ph.d.,p.c. |
|---|---|
| Speciality | Psychologist - School |
| Location | 1701 N Collins Blvd, Richardson, Texas |
| Authorized Official Name and Position | John Wesley Beaty (PRESIDENT) |
| Authorized Official Contact | 9725966351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Beaty, Ph.d.,p.c. 1701 N Collins Blvd Suite 210 Richardson TX 75080-3564 Ph: (972) 596-6351 | John W. Beaty, Ph.d.,p.c. 1701 N Collins Blvd Suite 210 Richardson TX 75080-3564 Ph: (972) 596-6351 |
| NPI Number | 1700933116 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700933116 | NPI | - | NPPES |
| 0004225322 | Other | TX | AETNA BEHAVIORAL HEALTH |
| 140051 | Other | TX | VALUE OPTIONS |
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