Jonathan C Beazley
Marriage & Family Therapist in Tolland, Connecticut
1619185469- Practice location
- 384 Merrow RD Ste D, Tolland, CT 06084-3957
- Phone
- 860-875-2578
- Fax
- —
- Last updated
- October 9, 2024
Jonathan C Beazley is a Marriage & Family Therapist based in Tolland, CT. Jonathan C Beazley practices in Tolland, CT. The NPI Number for Jonathan C Beazley is 1619185469 and holds a License No. 000631 (CT). The current practice location address for Jonathan C Beazley is 384 Merrow RD Ste D, Tolland, CT 06084-3957 and can be reached out via phone at 860-875-2578.
Provider Profile Details
- NPI Number
- 1619185469
- Provider Name
- Jonathan C Beazley
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 384 Merrow RD Ste D, Tolland, CT 06084-3957
- Phone Number
- 860-875-2578
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 17, 2007
- Last Update Date
- October 9, 2024
- Certification Date
- October 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 384 Merrow RD Ste D
Tolland, CT 06084-3957 - City
- Tolland
- State
- Connecticut
- Zip
- 06084-3957
- Phone Number
- 860-875-2578
Provider Business Mailing Address Details
- Address
- 384 Merrow RD Ste D
Tolland, CT 06084-3957 - City
- Tolland
- State
- CT
- Zip
- 06084-3957
- Phone Number
- 860-875-2578
License Information
- License Number
- 000631
- License State
- CT
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jonathan C Beazley?
The NPI number of Jonathan C Beazley is 1619185469. It was assigned on May 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Jonathan C Beazley?
Jonathan C Beazley is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000631.
Where does Jonathan C Beazley practice?
The practice location is 384 Merrow RD Ste D, Tolland, CT 06084-3957. The office can be reached at 860-875-2578 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619185469 directly on the NPPES registry website.