Provider Demographics
NPI:1821723339
Name:BEAUMONT, CHRYSTINE (AUD)
Entity Type:Individual
Prefix:MS
First Name:CHRYSTINE
Middle Name:
Last Name:BEAUMONT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22180 OLYMPIC COLLEGE WAY NW STE 205
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6664
Mailing Address - Country:US
Mailing Address - Phone:360-697-1300
Mailing Address - Fax:360-697-3238
Practice Address - Street 1:22180 OLYMPIC COLLEGE WAY NW STE 205
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-6664
Practice Address - Country:US
Practice Address - Phone:360-697-1300
Practice Address - Fax:360-697-3238
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD61322405237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter