Doctor Name: | ROSE BEAUJOUR |
NPI Number: | 1013318484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 004149 |
Business Practice Address: | 25 Pine Cone Dr Palm Coast, FL - 321648423 |
Business Phone Number: | 8007960923 |
Business Fax Number: | 8007960926 |
Mailing Address: | Po Box 352530, PALM COAST |
State: | FL |
Postal Code: | 321352530 |
Phone Number: | 8007960923 |
Fax Number: | 8007960926 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004149 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |