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DR. JOHN PAUL BEAUDOIN M.DIV.,PH.D.,Q.M.E.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1467424721

Individual Registrant:
DR. JOHN PAUL BEAUDOIN M.DIV.,PH.D.,Q.M.E.
Gender: M
Sole Proprietor

Location and contact information for practice:
542 PI NE AVENUE A PACIFIC GROVE, CA 93950-3082 US
Tel: 831-648-0845  Fax: 831-642-9831

Contact information for business:
542 PINE AVE A PACIFIC GROVE, CA 93950-3443 US
Tel: 831-648-0845  Fax: 831-642-9831

Registration Information:
NPI: 1467424721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY13842
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
CA935452

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
QUAILIFIED MEDICAL EXAMIN935452CA01
PSYCHOLOGY LIC.PSY13842CA01
PROVIDER NUMBEROPL138420CA01




HEALTH CARE JOBS CA - Page 1



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