Beaulieu, Lauren Louise

Beaulieu, Lauren Louise is an individual health care provider with primary practice located at 34 W 500 S , Jerome ID 83338-5957. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Beaulieu, Lauren Louise can be contacted via phone (208) 324-7117.

Contact Information

Primary practice address
34 W 500 S Jerome ID 83338-5957
Phone: (208) 324-7117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1116 Idaho

Profile Details

NPI number 1730347741
LBN Legal business name Beaulieu, Lauren Louise
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Sep 23rd, 2008 - about 18 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 1730347741 NPPES
Idaho MEDICAID 808103800
Idaho Other SP051

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