Individual ProviderJoni M BeliveauSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address166 Brackett St, Portland, ME 04102-3825(207) 874-8175(207) 797-4441PECOS EnrollmentBased on the most recent information from CMS, provider Joni M Beliveau does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1336449594Provider TypeIndividualFull NameBeliveau, Joni MCredentialSPEECH CLINICIANGenderFemaleSole ProprietorNoEnumeration Date10/21/2010Last Updated10/21/2010Contact InformationPractice LocationPractice Address166 Brackett St, Portland, ME 04102-3825Phone(207) 874-8175Fax(207) 874-8177Mailing LocationMailing Address1205 Washington Ave, Portland, ME 04103-3626Phone(207) 797-4441FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense403067Maine