Dr Eric Tyler Beaudoin, PSYD is a
Psychologist - Clinical based in Kennebunkport, Maine. Dr Eric Tyler Beaudoin is licensed to practice in Maine (license number PS1532) and his current practice location is
20 Fairfield Hill Rd, Kennebunkport, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 441-8533.
NPI number for Dr Eric Tyler Beaudoin is 1699117853 and his current mailing address is 20 West St Apt 8, Portland, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699117853.
Healthcare Provider's Profile
| Full Name | Dr Eric Tyler Beaudoin |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 20 Fairfield Hill Rd, Kennebunkport, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699117853
- Provider Enumeration Date: 07/29/2013
- Last Update Date: 03/18/2022
Medical Identifiers
Medical identifiers for Dr Eric Tyler Beaudoin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699117853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS1532 (Maine) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eric Tyler Beaudoin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eric Tyler Beaudoin, PSYD
20 West St Apt 8,
Portland, ME 04102-3442
Ph: (207) 441-8533 | Dr Eric Tyler Beaudoin, PSYD
20 Fairfield Hill Rd,
Kennebunkport, ME 04046-5222
Ph: (207) 441-8533 |
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