MR. Gary Rex Beaver, M.A.
NPI #1154405868 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1154405868
- Entity Type
- Individual
- Name
- MR. Gary Rex Beaver, M.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- M.A.
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 199 COON RAPIDS BLVD NW
- Address 2
- SUITE 306
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-5831
- Phone
- (763) 780-1520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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