| Doctor Name: | DR. JOHN PAUL BEAUDOIN |
| NPI Number: | 1467424721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.DIV.,PH.D.,Q.M.E. |
| License Number: | 935452 |
| Business Practice Address: | 542 Pi Ne Avenue A Pacific Grove, CA - 939503082 |
| Business Phone Number: | 8316480845 |
| Business Fax Number: | 8316429831 |
| Mailing Address: | 542 Pine Ave, A PACIFIC GROVE |
| State: | CA |
| Postal Code: | 939503443 |
| Phone Number: | 8316480845 |
| Fax Number: | 8316429831 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 07/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 935452 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |