Bruce W Bean, PH.D.
Individual provider Active NPI Psychologist · Prairie Village, KS
NPI 1679638217 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1679638217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 0401 (KS)
- Practice address
- 4200 Somerset Dr
Suite 254
Prairie Village, KS 66208-5217 - Phone
- (913) 381-1830
- Fax
- (913) 381-1830
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen J. Keenan, PH.D., L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0401 | KS | Yes |
Addresses
Primary practice location
4200 Somerset Dr
Suite 254
Prairie Village, KS 66208-5217
Mailing address
10850 King St
Overland Park, KS 66210-1267
Phone (913) 381-1830
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All providers in Prairie Village, KS · Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.