Individual
DR. STEPHANIE BEUKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CONCORD AVE, SUITE #1, CAMBRIDGE, MA 02138-3627
(617) 576-0854
(617) 864-5548
Mailing address
3 CONCORD AVE, SUITE #1, CAMBRIDGE, MA 02138-3627
(617) 576-0854
(617) 864-5548
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380423
MAGELLAN ID
MA
01
—
W05102
BCBS NATIONAL ID NUMBER
MA
Enumeration date
05/07/2007
Last updated
07/08/2007
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