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NPI Code Detail

MEDICARE: DR. JAMES ERNEST BEAUFORD PHD

MEDICARE:  DR. JAMES ERNEST BEAUFORD  PHD
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
1103TC0700XClinical PsychologistPSY17425CA

General Provider Information

NPI Number : 1801942719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ERNEST BEAUFORD PHD
Provider Business Mailing Address
First Line : 4141 GEARY BLVD FL 3
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3111
Country : US
Telephone Number : 415-833-2292
Fax Number :
Provider Business Practice Location Address
First Line : 4141 GEARY BLVD FL 3
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3111
Country : US
Telephone Number : 415-833-2523
Fax Number : 415-833-4765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 01/03/2022

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Directions to “ DR. JAMES ERNEST BEAUFORD PHD” Practice Location

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