Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY REX BEAVER, M.A.
Active Sole ProprietorMR. GARY REX BEAVER, M.A. is a Psychologist healthcare provider located in COON RAPIDS, Minnesota. NPI 1154405868 is currently active in the NPPES registry. Verify at CMS.
Psychologist · COON RAPIDS, MN
Registration Details
- NPI Number
- 1154405868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.616044748761 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP2584 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
199 COON RAPIDS BLVD NWSUITE 306COON RAPIDS, MN, 554335831Browse MN providers · Browse ZIP 55433
- Phone
- 7637801520
- Fax
- 7637802114
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| LUANN LENGAS HEIM | MS LP | 1477537678 |
| CATHERINE JANE LUITJENS | LP | 1093777591 |
| STEVEN MORRIS SMITH | PSYD LP | 1063475408 |
| MARY ELIZABETH CONNER | MA LP | 1992768451 |
| BONNIE L RASMUSSEN | MA LP | 1821051129 |
| DR. GAIL ANN NOLLER | PSYD, LP | 1730130758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.