Individual
LAURA BEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
(321) 722-3590
Mailing address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
(321) 722-3590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74455
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/01/2006
Last updated
07/08/2007
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