Search › Pennsylvania › 103TB0200X
Edward Bevan, PSY. D
NPI 1649646142 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1056 Route 390
Mountainhome, PA 18342 - Phone
- (570) 807-6638
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103TC0700X
103TP2701X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania