Gary R Beaufait in Cherry Hill - Clinical Neuropsychologist

Gary R Beaufait - NPI 1952468019

Gary R Beaufait is a Clinical Neuropsychologist in Cherry Hill, New Jersey. Gary R Beaufait practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gary R Beaufait is 1952468019. The last update date is 2007-07-08.

Gary R Beaufait's current location address is 1030 Kings Hwy N, Cherry Hill, New Jersey. You can contact this provider via phone number 8563211900 and fax number 8563211107. The mailing address for Gary R Beaufait is 1030 Kings Hwy N, Cherry Hill, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary R Beaufait
Address 1030 Kings Hwy N, Cherry Hill, New Jersey
Phone Number 8563211900
Fax Number 8563211107
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1952468019
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1030 Kings Hwy N
City Cherry Hill
State New Jersey (NJ)
Post Code 80341907
Phone Number 8563211900
Fax Number 8563211107

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 35SI00390700
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11575043 CAQH PROVIDER ID

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FAQs about Gary R Beaufait

What is the unique provider identifier assigned to Gary R Beaufait?

The Gary R Beaufait has been issued the NPI (National Provider Identifier) 1952468019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gary R Beaufait's facilities are geographically located?

The facilities of Gary R Beaufait are physically situated at the following location: 1030 Kings Hwy N, Cherry Hill, NJ, 80341907.

What is Gary R Beaufait's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary R Beaufait's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1952468019 to Gary R Beaufait?

The Centers for Medicare & Medicaid Services assigned the 1952468019 to Gary R Beaufait on 2007-01-01.

As of what date were the Gary R Beaufait's details last updated?

The information pertaining to the Gary R Beaufait, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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