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NPI Code Detail

MEDICARE: JOHN HAROLD DAIGNAULT PSY.D.

MEDICARE: JOHN HAROLD DAIGNAULT PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TF0200XForensic Psychologist3620MA
2103TF0200XForensic PsychologistPY 6871FL

General Provider Information

NPI Number : 1427029008
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN HAROLD DAIGNAULT PSY.D.
Provider Business Mailing Address
First Line : 3031 SHERIDAN AVE
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3943
Country : US
Telephone Number : 305-545-5244
Fax Number :
Provider Business Practice Location Address
First Line : 222 FORBES RD
Second Line : SUITE 105
City : BRAINTREE
State : MA
Zip : 02184-2706
Country : US
Telephone Number : 781-843-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 07/08/2007

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