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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952468019 NPPES
Other 11575043 CAQH PROVIDER ID

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