Doctor Name: | MRS. CAROLYN F BEAUBRUN |
NPI Number: | 1952621914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | SA-8098 |
Business Practice Address: | 11110 W Oakland Park Blvd # 307 Sunrise, FL - 333516808 |
Business Phone Number: | 3053439490 |
Business Fax Number: | 9542397125 |
Mailing Address: | 11110 W Oakland Park Blvd # 307, SUNRISE |
State: | FL |
Postal Code: | 333516808 |
Phone Number: | 3053439490 |
Fax Number: | 9542397125 |
NPI Enumeration Date: | 06/01/2010 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA-8098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |