Individual
DR. ERIC TYLER BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
20 FAIRFIELD HILL RD, KENNEBUNKPORT, ME 04046-5222
(207) 441-8533
Mailing address
20 WEST ST APT 8, PORTLAND, ME 04102-3442
(207) 441-8533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS1532
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2013
Last updated
03/18/2022
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