MEDICARE: ANTHONY 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
1	103TC0700X	Clinical Psychologist	37328	TX
2	103T00000X	Psychologist	37328	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37328	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1831471697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY BEAN PHD

Provider Business Mailing Address
First Line	:	909 9TH AVE STE 208
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3931
Country	:	US
Telephone Number	:	338-369-1144
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 9TH AVE STE 208
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3931
Country	:	US
Telephone Number	:	833-369-1144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	07/31/2025

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Directions to “ ANTHONY BEAN PHD” Practice Location

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