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JAMES BEAUREGARD PHD

Clinical Neuropsychologist

Manchester, New Hampshire

Provider NPI: 1326035734

Provider Information:
 JAMES  BEAUREGARD PHD
Gender: M


Practice Location:
138 WEBSTER ST  MANCHESTER, NH 03104 US
Tel: 603-645-5977  Fax: 603-645-5980

Business Mailing Address:
PO BOX 3300  MANCHESTER, NH 03105 US
Tel: 603-645-5977  Fax: 603-645-5980

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH785
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA6782

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM060084540NH01NH01
30010726NH05
RE4503NH04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NH - Page 1



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