Individual
BRENDA LEE BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR.#2 KM.93.0 BARRIO MEMBRILLO, CAMUY, PR 00627
(787) 820-2879
(787) 820-2879
Mailing address
P.O. BOX 666, CAMUY, PR 00627
(787) 820-2879
(787) 820-2879
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1887
PR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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