| 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 - Adult Development & Aging | 
| 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 | 09/11/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700933116 | NPI | - | NPPES | 
| 0004225322 | Other | TX | AETNA BEHAVIORAL HEALTH | 
| 140051 | Other | TX | VALUE OPTIONS | 
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