Sandra Lee Beaudry, M.S., LMFT
Individual provider Active NPI Marriage & Family Therapist · Portsmouth, NH
NPI 1114084985 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114084985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 22 (NH)
- Practice address
- 1 Junkins Ave
#2
Portsmouth, NH 03801-4561 - Phone
- (603) 433-3109
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 22 | NH | Yes |
Addresses
Primary practice location
1 Junkins Ave
#2
Portsmouth, NH 03801-4561
Mailing address
1 Junkins Ave
#2
Portsmouth, NH 03801-4561
Phone (603) 433-3109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010263 | Medicaid | NH |
Other names
- Sandra Lee Minard
Other providers in Portsmouth, NH
- Be Balanced, LLC
- Beacon Hospice, LLC
- Marjorie Eden Beams
- Sarah Beasley
- Malcolm Stephen Beaudett
- Kinley Danae Beck
- Whitney Beck
- Erika Beer
- Matthew M Begnoche
- Ahmad Behzadpour
All providers in Portsmouth, NH · Marriage & Family Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.