Peggy Beaulieu, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP752 Issued in ME

Practice address

123 Medical Center Dr
Brunswick, ME 04011-2652

Phone

(207) 373-6175

Fax

(207) 373-6180

NPI assigned

Oct 30, 2015

Last updated

Oct 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1003288911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112652",
            "telephone_number": "207-373-6175",
            "fax_number": "207-373-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "PEGGY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP752",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE, SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "SP752",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "SA13655",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Matthew Bauter, MD
• Jennifer Lee Bean, RN, PHN
• William B Beattie, LCSW
• Felicite M-J Beaudoin, RN/IBCLC
• Kimberly G Beaulieu, IBCLC
• Amanda Beth Behnke, APRN-CNP
• Amy Belanger, LADC
• Jordan Belanger, DPT
• Steven Armand Belanger, PHD, CCC-SLP
• Julie Michelle Bell, M.S. CCC-SLP

• Speech-Language Pathologist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.