Beaman, Dale Wesley

Beaman, Dale Wesley is an sole proprietor health care provider with primary practice located at 250 W 1St St Suite 242, Claremont CA 91711-4736. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beaman, Dale Wesley can be contacted via phone (909) 621-9023.

Contact Information

Primary practice address
250 W 1St St Suite 242 Claremont CA 91711-4736
Fax: (909) 482-2211
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14704 California

Profile Details

NPI number 1659355881
LBN Legal business name Beaman, Dale Wesley
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jan 3rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659355881 NPPES
California Other EJ024A PTAN

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