# ELLEN LOUISE BEAUCHAMP

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

## Provider details

- **NPI number:** 1770646762
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PSY1418 | DC | — |
| 103T00000X | Psychologist | PSY1519 | CO | — |
| 103T00000X | Psychologist | PSY202216 | ID | — |
| 103T00000X | Psychologist | PSY2413 | WA | Yes |
| 103T00000X | Psychologist | PSY6649 | CA | — |
| 103T00000X | Psychologist | — | MD | — |
| 103TC0700X | Clinical Psychologist | 2413 | WA | — |
| 103TC0700X | Clinical Psychologist | PSY810001654 | VA | — |
| 106H00000X | Marriage & Family Therapist | MFC6202 | CA | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 11/05/2022