Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC TYLER BEAUDOIN, PSYD
DeactivatedDR. ERIC TYLER BEAUDOIN, PSYD is a Clinical Psychologist healthcare provider located in KENNEBUNKPORT, Maine. NPI 1699117853 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · KENNEBUNKPORT, ME
This NPI has been deactivated.
The record was deactivated on February 17, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1699117853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2013 (8.5561643835616 yrs)
- Last Updated
- Mar 18, 2022
- Deactivated
- Feb 17, 2022
- License
-
PS1532 (ME)
Practice Information
- Address
-
20 FAIRFIELD HILL RDKENNEBUNKPORT, ME, 040465222Browse ME providers · Browse ZIP 04046
- Phone
- 2074418533
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.