Mr. GARY REX BEAVER -- M.A.
Individual Provider (NPI-1)
Active
Psychologist
Provider Information
- NPI Number
1154405868- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.A.
- Status
- Active
Contact & Location
- Address
- 199 COON RAPIDS BLVD NW SUITE 306, COON RAPIDS, MN, 554335831
- Phone
- (763) 780-1520
- Fax
- (763) 780-2114
Specialties & Taxonomies
Psychologist
Primary License: MN #LP2584