Jonathan C Beazley
NPI #1619185469 in Tolland, Connecticut
Provider Information
- NPI Number
- 1619185469
- Entity Type
- Individual
- Name
- Jonathan C Beazley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 17, 2007
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 384 MERROW RD STE D
- City
- Tolland
- State
- Connecticut
- ZIP Code
- 06084-3957
- Phone
- (860) 875-2578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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