Individual
DR. JOHN BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
VA CONNECTICUT HEALTHCARE SYSTEM (116B), 950 CAMPBELL AVENUE, WEST HAVEN, CT 06516
(203) 932-5711
(203) 937-4951
Mailing address
136 BARBERRY ROAD, SOUTHPORT, CT 06890
(203) 254-0639
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
002320
CT
103TC0700X
Clinical Psychologist
Primary
002320
CT
Other
Enumeration date
09/29/2006
Last updated
09/11/2025
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