Most Relevant Information
Provider Data
| NPI Number: | 1003288911 |
| Provider Name: | PEGGY BEAULIEU SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP752 |
Most Important Dates
| Enumeration Date: | 10/30/2015 |
| Last Updated: | 10/30/2015 |
Provider Practice Location
123 MEDICAL CENTER DR
BRUNSWICK
ME
040112652
Practice Location Phone/Fax
| Phone: | 2073736175 |
| Fax: | 2073736180 |
Provider Mailing Location
123 MEDICAL CENTER DR
BRUNSWICK
ME
040112652
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |