Individual provider · Type 1 NPI

Richard Beaver, PhD

Health Service Psychologist · San Jose, CA

NPI number 1487673596 Active

Practice location

275 Hospital Pkwy, Suite 470
San Jose, CA 95119-1106

Call (408) 972-3364 Map

Fax (408) 972-6088

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X20328 (CA)
Health Service Psychologist 103TH0100X1565 (CO)

Health Service Psychologist: 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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About NPI 1487673596

Richard Beaver, PhD's National Provider Identifier is 1487673596, issued on Jul 19, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.