Provider Demographics
NPI:1871762294
Name:BEAMAN, HAROLD ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ARTHUR
Last Name:BEAMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 E FLORIAN AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-2749
Mailing Address - Country:US
Mailing Address - Phone:480-396-5350
Mailing Address - Fax:
Practice Address - Street 1:7407 E FLORIAN AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-2749
Practice Address - Country:US
Practice Address - Phone:480-396-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10476101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)