Beaudry, Sandra Lee

Beaudry, Sandra Lee is an individual health care provider with primary practice located at 1 Junkins Ave #2, Portsmouth NH 03801-4561. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Beaudry, Sandra Lee can be contacted via phone (603) 433-3109.

Contact Information

Primary practice address
1 Junkins Ave #2 Portsmouth NH 03801-4561
Phone: (603) 433-3109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 22 New Hampshire

Profile Details

NPI number 1114084985
LBN Legal business name Beaudry, Sandra Lee
Credentials M.S., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114084985 NPPES
New Hampshire MEDICAID 30010263

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