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Contact Information

KRISTIN L BEASLEY
2080 N WINERY AVE
#101
FRESNO, CA93703-4817
 Phone: 559-252-6353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTIN L BEASLEY · (Female)

NPI Number 1104237833
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2014
Last updated 05/15/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSB94020449
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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