Begault, Laura

Begault, Laura is an individual health care provider with primary practice located at 2123 Franklin Dr Ne , Palm Bay FL 32905-4022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Begault, Laura can be contacted via phone (321) 724-1614.

Contact Information

Primary practice address
2123 Franklin Dr Ne Palm Bay FL 32905-4022
Phone: (321) 724-1614
Fax: (321) 722-3590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7059 Florida

Profile Details

NPI number 1558390674
LBN Legal business name Begault, Laura
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1558390674 NPPES
Florida Other 74455 BLUE CROSS BLUE SHIELD

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