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Dr. Richard Beaver, PHD
Health Service Psychologist in San Jose, California
NPI 1487673596

Richard Beaver is a Health Service Psychologist based in San Jose, CA and is specialized in Health Service. Richard Beaver practices in San Jose, CA and has the professional credentials of PHD. The NPI Number for Richard Beaver is 1487673596 and holds a License No. 20328 (California).

The current practice location address for Richard Beaver is 275 Hospital Pkwy, San Jose, CA and can be reached out via phone at 408-972-3364 and via fax at 408-972-6088.

Location: 275 Hospital Pkwy, San Jose, CA, 95119-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487673596
Provider Name
Richard Beaver
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
275 Hospital Pkwy, San Jose, CA, 95119-1106
Phone Number
408-972-3364
Fax Number
408-972-6088
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07015654 05 CA
institution
Provider Business Practice Location Address Details
Address
275 Hospital Pkwy
City
San Jose
State
California
Zip
95119-1106
Phone Number
408-972-3364
Fax Number
408-972-6088
person
Provider Business Mailing Address Details
Address
275 Hospital Pkwy
City
San Jose
State
California
Zip
95119-1106
Phone Number
408-972-3364
Fax Number
408-972-6088
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20328 (California)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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