| Dale Beaman | |
|
250 W 1st St 242 Claremont CA 91711-4736 | |
| (909) 621-9023 | |
| (909) 482-2211 |
| Full Name | Dale Beaman |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 250 W 1st St, Claremont, California |
| Authorized Official Name and Position | Dale Beaman (PRESIDENT) |
| Authorized Official Contact | 9096219023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Beaman 8433 Valle Vista Pl Rancho Cucamonga CA 91730-1835 Ph: (909) 621-9023 | Dale Beaman 250 W 1st St 242 Claremont CA 91711-4736 Ph: (909) 621-9023 |
| NPI Number | 1063752061 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063752061 | NPI | - | NPPES |
| 1659355881 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY14704 (California) | Primary |
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