Beaulieu, Cynthia L

Beaulieu, Cynthia L is an individual health care provider with primary practice located at 480 Medical Center Dr , Columbus OH 43210-1229. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Beaulieu, Cynthia L can be contacted via phone (614) 293-3830.

Contact Information

Primary practice address
480 Medical Center Dr Columbus OH 43210-1229
Fax: (614) 293-4870
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4192 Florida
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X P.07870 Ohio

Profile Details

NPI number 1417133091
LBN Legal business name Beaulieu, Cynthia L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Aug 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417133091 NPPES
Ohio MEDICAID 0419108

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