Individual
ALYSSA BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S LINDSAY RD STE 113, GILBERT, AZ 85297-1507
(480) 219-3953
Mailing address
2422 E RIVIERA PL, CHANDLER, AZ 85249-4815
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11695
AZ
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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