Individual provider · NPI-1

Rose Beaujour, MS, CCC-SLP

Speech-Language Pathologist, · Palm Coast, FL

NPI number1013318484
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1013318484
Entity type
Individual (NPI-1)
Name
Rose Beaujour
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2014
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,12124611CTYes
235Z00000X Speech-Language Pathologist,004149CT

Practice location

25 Pine Cone Dr
Palm Coast, FL 32164-8423

Phone 800-796-0923 · Fax 800-796-0926

Mailing address

Po Box 352530
Palm Coast, FL 32135-2530

Phone 800-796-0923 · Fax 800-796-0926

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Palm Coast, FL