Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gary Rex Beaver, MA

Individual provider Psychologist · NPI 1154405868

Mr. Gary Rex Beaver, MA is a Psychologist in Coon Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

199 Coon Rapids Blvd NW Ste 306
Coon Rapids, MN 55433-5831
Phone: (763) 780-1520
Fax: (763) 780-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP2584 (MN)

Record details

NPI number1154405868
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

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