Bean, Jessica Lord
Bean, Jessica Lord is an individual health care provider with primary practice located at 300 Hebron Ave Suite 111, Glastonbury CT 06033-2176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Bean, Jessica Lord can be contacted via phone (860) 633-8155.Contact Information
Primary practice address
300 Hebron Ave Suite 111
Glastonbury CT 06033-2176
Phone: (860) 633-8155
Fax: (860) 633-8176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2864 | Connecticut |
Profile Details
| NPI number | 1255451134 |
|---|---|
| LBN Legal business name | Bean, Jessica Lord |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Sep 23rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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