Individual
JONI M BELIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH CLINICIAN
Contact information
Practice address
166 BRACKETT ST, PORTLAND, ME 04102-3825
(207) 874-8175
(207) 874-8177
Mailing address
1205 WASHINGTON AVE, PORTLAND, ME 04103-3626
(207) 797-4441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
403067
ME
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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