Doctor Name: | MS. CHERI BEAULIEU |
NPI Number: | 1972852267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 004552 |
Business Practice Address: | 72 Salmon Brook Dr Glastonbury, CT - 060332131 |
Business Phone Number: | 8607806341 |
Business Fax Number: | |
Mailing Address: | 29 Spice Hill Dr, EAST HAMPTON |
State: | CT |
Postal Code: | 064241762 |
Phone Number: | 8602677207 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2012 |
NPI Last Update Date: | 09/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |