Bean, Jacqueline Raye
Bean, Jacqueline Raye is an sole proprietor health care provider with primary practice located at 1244 Clairmont Rd Suite 204, Decatur GA 30030-1259. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bean, Jacqueline Raye can be contacted via phone (404) 493-0240.Contact Information
Primary practice address
1244 Clairmont Rd Suite 204
Decatur GA 30030-1259
Phone: (404) 493-0240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002677 | Georgia |
Profile Details
| NPI number | 1417078981 |
|---|---|
| LBN Legal business name | Bean, Jacqueline Raye |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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