| Organization Name: | DR LAURA A BEAUMONT |
| NPI Number: | 1033197025 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA ANN BEAUMONT (LINCENSED CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 11801 Southwest Highway Ste 3 South Palos Heights |
| State: | IL US |
| Postal Code: | 60463 |
| Phone Number: | 7089237400 |
| Fax Number: | 7089237409 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | IL071005432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |