Active NPIIndividual provider

Dr. Eric T Beaudoin, PSYD

Psychologist, Clinical in Kennebunkport, Maine

NPI Number1699117853
Practice location
20 Fairfield Hill RD, Kennebunkport, ME 04046-5222
Fax
—
Last updated
March 18, 2022

Eric Tyler Beaudoin is a Psychologist, Clinical based in Kennebunkport, ME. Eric Tyler Beaudoin practices in Kennebunkport, ME and has the professional credentials of PSYD. The NPI Number for Eric Tyler Beaudoin is 1699117853 and holds a License No. PS1532 (ME). The current practice location address for Eric Tyler Beaudoin is 20 Fairfield Hill RD, Kennebunkport, ME 04046-5222 and can be reached out via phone at 207-441-8533.

Provider Profile Details

NPI Number
1699117853
Provider Name
Eric Tyler Beaudoin
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
20 Fairfield Hill RD, Kennebunkport, ME 04046-5222
Phone Number
207-441-8533
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2013
Last Update Date
March 18, 2022
Certification Date
March 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Fairfield Hill RD
Kennebunkport, ME 04046-5222
State
Maine
Zip
04046-5222
Phone Number
207-441-8533
Kennebunkport, ME 04046Get directions →

Provider Business Mailing Address Details

Address
20 West St Apt 8
Portland, ME 04102-3442
City
Portland
State
ME
Zip
04102-3442
Phone Number
207-441-8533

License Information

Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
PS1532
License State (3)
ME
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eric T Beaudoin, PSYD?

The NPI number of Dr. Eric T Beaudoin, PSYD is 1699117853. It was assigned on July 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Eric T Beaudoin, PSYD?

Dr. Eric T Beaudoin, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number PS1532.

Where does Dr. Eric T Beaudoin, PSYD practice?

The practice location is 20 Fairfield Hill RD, Kennebunkport, ME 04046-5222. The office can be reached at 207-441-8533 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699117853 directly on the NPPES registry website.

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