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: |