Beaudoin, John Paul
Beaudoin, John Paul is an sole proprietor health care provider with primary practice located at 542 Pi Ne Avenue A, Pacific Grove CA 93950-3082. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beaudoin, John Paul can be contacted via phone (831) 648-0845.Contact Information
Primary practice address
542 Pi Ne Avenue A
Pacific Grove CA 93950-3082
Phone: (831) 648-0845
Fax: (831) 642-9831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY13842 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 935452 | California |
Profile Details
| NPI number | 1467424721 |
|---|---|
| LBN Legal business name | Beaudoin, John Paul |
| Credentials | M.DIV.,PH.D.,Q.M.E. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467424721 | NPPES |
| California | Other | PSY13842 | PSYCHOLOGY LIC. |
| California | Other | 935452 | PSYCHOLOGY LIC. |
| California | Other | OPL138420 | PSYCHOLOGY LIC. |
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