| Pediatric Boulevard, Pllc | |
|
2814 Gray Fox Rd Monroe NC 28110-8422 | |
| (704) 821-0568 | |
| (704) 821-0570 |
| Full Name | Pediatric Boulevard, Pllc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 2814 Gray Fox Rd, Monroe, North Carolina |
| Authorized Official Name and Position | Toinette Christine Laguerre (DIRECTOR) |
| Authorized Official Contact | 7048210568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Boulevard, Pllc 2814 Gray Fox Rd Monroe NC 28110-8422 Ph: (704) 821-0568 | Pediatric Boulevard, Pllc 2814 Gray Fox Rd Monroe NC 28110-8422 Ph: (704) 821-0568 |
| NPI Number | 1114233590 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114233590 | NPI | - | NPPES |
| 7200741 | Medicaid | NC |
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