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Contact Information

JOHN P BEAUDOIN, M.DIV.,PH.D.,Q.M.E.
PO BOX 746
PEBBLE BEACH, CA93953-0746
 Phone: 831-648-0845
 Fax: 831-665-5351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN P BEAUDOIN · (Male)

NPI # 1467424721
Status Active
Credentials M.DIV.,PH.D.,Q.M.E.
Entity Individual
Enumeration date 02/02/2006
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 935452
  • CA License # PSY13842
  • CA Other OPL138420 PROVIDER NUMBER
  • CA Other PSY13842 PSYCHOLOGY LIC.
  • CA Other 935452 QUAILIFIED MEDICAL EXAMIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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