MRS. MACEY LEE BEAUBOEUF CCC- SLP - NPI 1942886288 - Speech-Language Pathologist in Dallas, TX

Q: What is Macey Beauboeuf's NPI number?

The NPI number for Macey Beauboeuf is 1942886288. It was assigned to this individual provider in the NPPES registry on March 18, 2021. The provider is also known as Macey Lee Matheson.

Q: What is Macey Beauboeuf's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Macey Beauboeuf was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mrs. Macey Lee Beauboeuf Ccc- Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MACEY LEE BEAUBOEUF CCC- SLP (NPI 1942886288) is an individual speech-language pathologist provider in Dallas, Texas, licensed in Louisiana (8437) and active in the NPI registry since March 2021. She maintains a secondary practice location in Woodworth and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942886288

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MACEY LEE BEAUBOEUFCredential: CCC- SLP

Location Address13727 NOEL RD STE 200Dallas, TX 75240-1338

Mailing Address2424 Coulee Crossing RdWoodworth, LA 71485-9730 · (318) 229-3742

Phone(972) 851-1022

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2021

NPPES CertifiedMarch 18, 2021

✔ NPI 1942886288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in LA · 8437

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

13727 NOEL RD STE 200, Dallas, TX 75240

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Other Names 1

Other Name (5)Macey Lee Matheson

Secondary Practice Location 1

Location 12424 Coulee Crossing RdWoodworth, LA 71485-9730 · Phone (318) 229-3742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Macey Lee Beauboeuf Ccc- Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315420742

PECOS Enrollment IDI20260312004045

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA V TITZE SLPA

Specialist/Technologist (Speech-Language Assistant)

13727 NOEL RD STE 200, TOWER 2
DALLAS, TX 75240

Dallas County (972) 851-1022

STRATEGIC MANAGEMENT SERVICES LLC

Clinic/Center (Multi-Specialty)