Individual
ALYSSA BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
Mailing address
2211 S KIRKMAN RD APT 223, ORLANDO, FL 32811-2590
(203) 819-0074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17173
FL
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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