| Stewart R. Beasley Jr. Ph.d. Llc | |
|
1366 E 15th St Edmond OK 73013-5029 | |
| (405) 341-4313 | |
| (405) 340-4567 |
| Full Name | Stewart R. Beasley Jr. Ph.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1366 E 15th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Stewart R Beasley (MANAGING MEMBER) |
| Authorized Official Contact | 4053414313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart R. Beasley Jr. Ph.d. Llc 1366 E 15th St Edmond OK 73013-5029 Ph: (405) 341-4313 | Stewart R. Beasley Jr. Ph.d. Llc 1366 E 15th St Edmond OK 73013-5029 Ph: (405) 341-4313 |
| NPI Number | 1689823973 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689823973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 199 (Oklahoma) | Primary |
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