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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSSELL GLEN BEAZER, M.S.

Active Sole Proprietor

Marriage & Family Therapist · GILBERT, AZ

Registration Details

NPI Number
1386730992
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.555903833125 yrs)
Last Updated
Apr 16, 2020
License
LMFT-10047 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1760 E BOSTON ST STE 102
GILBERT, AZ, 852956241
Browse AZ providers · Browse ZIP 85295
Phone
4806496499
Fax
4802072580
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in GILBERT, AZ

Name Credential NPI
MS. JANICE JOVICH HOBBS MA, LPC 1477650505
MRS. BECKY LYNN VERBANSKY LMFT 1790848208
MR. WILLIAM JEFFERSON M.A. 1659419455
WENDY MCCORD LMFT 1942424049
KRISTI RENEE KLEBAN M.S., LMFT 1164660031
EMILY ELIZABETH WILSON LMFT 1720371214
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.