Richard Beaver is a Health Service in San Jose, California. Richard Beaver practices all healthcare services and medical treatments related to Health Service. The NPI Number for Richard Beaver is 1487673596. The last update date is 2007-07-08.
Richard Beaver's current location address is 275 Hospital Pkwy, San Jose, California. You can contact this provider via phone number 4089723364 and fax number 4089726088. The mailing address for Richard Beaver is 275 Hospital Pkwy, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Beaver |
|---|---|
| Address | 275 Hospital Pkwy, San Jose, California |
| Phone Number | 4089723364 |
| Fax Number | 4089726088 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487673596 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 275 Hospital Pkwy |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951191106 |
| Phone Number | 4089723364 |
| Fax Number | 4089726088 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 20328 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7015654 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Beaver by the Centers for Medicare & Medicaid Services?
The Richard Beaver has been issued the NPI (National Provider Identifier) 1487673596 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard Beaver is geographically located?
The Richard Beaver is physically situated at the following location: 275 Hospital Pkwy, San Jose, CA, 951191106.
What is Richard Beaver's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Beaver is Health Service, and the corresponding taxonomy classification code for this specialized field is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487673596 to Richard Beaver?
The Richard Beaver received its 1487673596 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information related to Richard Beaver most recently updated or refreshed?
The details pertaining to the Richard Beaver, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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