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DR. TIMOTHY MARK BEACH PSY. D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1427397702

Individual Registrant:
DR. TIMOTHY MARK BEACH PSY. D.
Gender: M
Sole Proprietor

Location and contact information for practice:
21633 AVENUE 24  CHOWCHILLA, CA 93610-9650 US
Tel: 559-665-6100  Fax: --

Contact information for business:
PO BOX 99  CHOWCHILLA, CA 93610-0099 US
Tel: 559-665-6100  Fax: --

Registration Information:
NPI: 1427397702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CA22544

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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