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Contact Information

RICHARD BEAVER, PhD
275 HOSPITAL PKWY
SUITE 470
SAN JOSE, CA95119-1106
 Phone: 408-972-3364
 Fax: 408-972-6088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RICHARD BEAVER · (Male)

NPI # 1487673596
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20328
  • CO License # 1565
  • CA Medicaid 07015654
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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