Cheri Beaulieu
Individual provider Active NPI Speech-Language Pathologist · Glastonbury, CT
NPI 1972852267 · NPPES record last updated Sep 3, 2012
Key facts
- NPI
- 1972852267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 004552 (CT)
- Practice address
- 72 Salmon Brook Dr
Glastonbury, CT 06033-2131 - Phone
- (860) 780-6341
- NPI assigned
- Sep 3, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004552 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004552 | CT | Yes |
Addresses
Primary practice location
72 Salmon Brook Dr
Glastonbury, CT 06033-2131
Mailing address
29 Spice Hill Dr
East Hampton, CT 06424-1762
Phone (860) 267-7207
Other providers in Glastonbury, CT
- Margarita Baume
- Anthony E Baumstark
- Sharifa M Bayer
- Harold E Beam
- Jessica Lord Bean
- Stephen Becker
- Kurt Charles Bellhorn
- Matthew J Bellinger
- Kara Benedetto
- Jamie L Benway
All providers in Glastonbury, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.