# DR. JOHN PAUL BEAUDOIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467424721
- **Gender:** Man
- **Credential:** M.DIV.,PH.D.,Q.M.E.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | PSY13842 | CA | Yes |
| 103TF0200X | Forensic Psychologist | 935452 | CA | — |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 04/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 935452 | QUAILIFIED MEDICAL EXAMIN | CA |
| 01 | — | OPL138420 | PROVIDER NUMBER | CA |
| 01 | — | PSY13842 | PSYCHOLOGY LIC. | CA |