Beaulieu, Peggy
Beaulieu, Peggy is an individual health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011-2652. 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, Peggy can be contacted via phone (207) 373-6175.Contact Information
Primary practice address
123 Medical Center Dr
Brunswick ME 04011-2652
Phone: (207) 373-6175
Fax: (207) 373-6180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP752 | Maine |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA13655 | Florida |
Profile Details
| NPI number | 1003288911 |
|---|---|
| LBN Legal business name | Beaulieu, Peggy |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2015 |
| Last updated | Oct 30th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003288911 | NPPES |
| Maine | Other | SP752 | STATE OF MAINE, SPEECH LANGUAGE PATHOLOGIST LICENSE |
| Maine | Other | SA13655 | STATE OF MAINE, SPEECH LANGUAGE PATHOLOGIST LICENSE |
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