Roger Beaudry

Counselor · San Mateo, CA

Individual Active NPI

NPI number 1912045832

Practice location

1720 S Amphlett Blvd
Suite 123
San Mateo, CA 94402-2702
Phone
(650) 578-8691
Fax
(650) 578-8697

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NPI record

NPI
1912045832
Entity type
Individual (Type 1)
Enumeration date
February 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

118 Escanyo Dr
South San Francisco, CA 94080-4134
Phone
(650) 583-9120

About Roger Beaudry

Roger Beaudry is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1720 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2702. The NPI number 1912045832 was assigned on February 2, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Roger Beaudry?

The NPI number is 1912045832.

What is the phone number of Roger Beaudry?

The phone number listed for the practice location is (650) 578-8691.

Where is Roger Beaudry located?

1720 S Amphlett Blvd, Suite 123, San Mateo, CA 94402-2702.

What is the taxonomy code for Roger Beaudry?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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