| Organization Name: | DR BEAMAN PSYCHOLOGICAL PROFESSIONAL CORPORATION |
| NPI Number: | 1063752061 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE BEAMAN (PRESIDENT) |
| Mailing Address: | 250 W 1st St 242 Claremont |
| State: | CA US |
| Postal Code: | 917114736 |
| Phone Number: | 9096219023 |
| Fax Number: | 9094822211 |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY14704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |