Provider Demographics
NPI:1396879201
Name:HOWARD B. BEAN PHD
Entity type:Organization
Organization Name:HOWARD B. BEAN PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-684-1948
Mailing Address - Street 1:211 N UNION ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2657
Mailing Address - Country:US
Mailing Address - Phone:703-684-1948
Mailing Address - Fax:703-836-3004
Practice Address - Street 1:211 N UNION ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2657
Practice Address - Country:US
Practice Address - Phone:703-684-1948
Practice Address - Fax:703-836-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000727103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA78480001OtherCARE FIRST BLUE CROSS
VA440198OtherANTJEM BLUE CROSS