Joni M Beliveau | Portland, ME • PECOS Search

Joni M Beliveau

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

166 Brackett St, Portland, ME 04102-3825

(207) 874-8175 (207) 797-4441

PECOS Enrollment

Based on the most recent information from CMS, provider Joni M Beliveau does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1336449594
Provider Type
Individual
Full Name
Beliveau, Joni M
Credential
SPEECH CLINICIAN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/21/2010
Last Updated
10/21/2010

Contact Information

Practice Location

166 Brackett St, Portland, ME 04102-3825

(207) 874-8177

Mailing Location

1205 Washington Ave, Portland, ME 04103-3626

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 403067 Maine