Individual
DR. ELIZABETH LOUISE BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
17 RIVERWIND DR, REXFORD, NY 12148-1223
(518) 384-2039
(518) 384-2039
Mailing address
17 RIVERWIND DR, REXFORD, NY 12148-1223
(518) 384-2039
(518) 384-2039
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012034-1
NY
103TC0700X
Clinical Psychologist
680
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012034-1
PSYCHOLOGY REGISTRATION
NY
05
—
01674166
—
NY
01
—
680
PSYCHOLOGY LICENSE
NH
Enumeration date
12/26/2006
Last updated
07/09/2007
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