Jacqueline Raye Bean in Decatur - Clinical
Jacqueline Raye Bean - NPI 1417078981
Jacqueline Raye Bean is a Clinical in Decatur, Georgia. Jacqueline Raye Bean practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Raye Bean is 1417078981. The last update date is 2007-07-08.
Jacqueline Raye Bean's current location address is 1244 Clairmont Rd, Decatur, Georgia. You can contact this provider via phone number 4044930240. The mailing address for Jacqueline Raye Bean is 1244 Clairmont Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Raye Bean |
|---|---|
| Address | 1244 Clairmont Rd, Decatur, Georgia |
| Phone Number | 4044930240 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1417078981 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1244 Clairmont Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301259 |
| Phone Number | 4044930240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY002677 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jacqueline Raye Bean by the Centers for Medicare & Medicaid Services (CMS)?
The Jacqueline Raye Bean has been assigned the NPI (National Provider Identifier) 1417078981. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jacqueline Raye Bean is physically located?
The Jacqueline Raye Bean is physically situated at the following address: 1244 Clairmont Rd, Decatur, GA, 300301259.
What is the area of specialization for Jacqueline Raye Bean, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacqueline Raye Bean is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Jacqueline Raye Bean receive the assignment of its 1417078981 from the Centers for Medicare & Medicaid Services?
The Jacqueline Raye Bean was issued its 1417078981 by the Centers for Medicare & Medicaid Services on 2007-04-03.
When was the Jacqueline Raye Bean's information last updated?
The Jacqueline Raye Bean's information was last updated on 2007-07-08.