Gary R Beaufait in Cherry Hill - Clinical

Gary R Beaufait - NPI 1952468019

Gary R Beaufait is a Clinical in Cherry Hill, New Jersey. Gary R Beaufait practices all healthcare services and medical treatments related to Clinical. 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
Taxonomy 103Tc0700X
Licence No 35SI00039070
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

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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