Individual
JENNA BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Mailing address
1830 N 145TH AVE APT 2065, GOODYEAR, AZ 85395-5408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP14623
AZ
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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