Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersJAMES 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NH | 785 |
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MA | 6782 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM | 060084540NH01 | NH | 01 |
| 30010726 | NH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
