Provider Demographics
NPI:1215815261
Name:BEAN, MARTHA HARPER (LMFT-A)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:HARPER
Last Name:BEAN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 PINE TREE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2631
Mailing Address - Country:US
Mailing Address - Phone:617-447-8952
Mailing Address - Fax:
Practice Address - Street 1:54 PINE TREE HILL RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2631
Practice Address - Country:US
Practice Address - Phone:617-447-8952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT27.003688-ASOC106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist