Bevan, Edward

Bevan, Edward is an sole proprietor health care provider with primary practice located at 1056 Route 390 , Mountainhome PA 18342. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Bevan, Edward can be contacted via phone (570) 807-6638.

Contact Information

Primary practice address
1056 Route 390 Mountainhome PA 18342
Phone: (570) 807-6638
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS017344 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017344 Pennsylvania
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PS017344 Pennsylvania

Profile Details

NPI number 1649646142
LBN Legal business name Bevan, Edward
Credentials PSY. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 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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