MRS. Gloria Sophia Bean, CRPA

NPI #1326896580 in Deer Park, New York

Provider Information

NPI Number: 1326896580
Entity Type: Individual
Name: MRS. Gloria Sophia Bean, CRPA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CRPA
Enumeration Date: May 10, 2024
Last Updated: May 10, 2024

Practice Location

Address: 770 GRAND BLVD
City: Deer Park
State: New York
ZIP Code: 11729-5750
Phone: (631) 392-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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