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NPI Code Detail

MEDICARE: DR. MANYA MARIA BEAN PHD

MEDICARE:  DR. MANYA MARIA BEAN  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00217400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1STATE OF NJ LICENSEOTHERNJ37PC00217400

General Provider Information

NPI Number : 1760573661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANYA MARIA BEAN PHD
Provider Business Mailing Address
First Line : 16 N CURRAN DR
Second Line :
City : ABSECON
State : NJ
Zip : 08201-1308
Country : US
Telephone Number : 609-677-0791
Fax Number :
Provider Business Practice Location Address
First Line : 600 NEW RD
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-1653
Country : US
Telephone Number : 609-641-2500
Fax Number : 609-641-2502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MANYA MARIA BEAN PHD” Practice Location

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