Beaufait, Gary R
Beaufait, Gary R is an sole proprietor health care provider with primary practice located at 1030 Kings Hwy N Suite 210, Cherry Hill NJ 08034-1907. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Beaufait, Gary R can be contacted via phone (856) 321-1900.Contact Information
Primary practice address
1030 Kings Hwy N Suite 210
Cherry Hill NJ 08034-1907
Phone: (856) 321-1900
Fax: (856) 321-1107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 35SI00390700 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI000390700 | New Jersey |
Profile Details
| NPI number | 1952468019 |
|---|---|
| LBN Legal business name | Beaufait, Gary R |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952468019 | NPPES |
| Other | 11575043 | CAQH PROVIDER ID |
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