NPI 1073904546 AMANDA YVONNE BEAVER MULKEYTOWN IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Amanda Yvonne Beaver - NPI: 1073904546

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: AMANDA YVONNE BEAVER
NPI Number: 1073904546
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 146.012424
Business Practice Address: 306 W Mill St
Carbondale, IL - 629012727
Business Phone Number: 6185293060
Business Fax Number:
Mailing Address: 4355 State Highway 148,
MULKEYTOWN
State: IL
Postal Code: 628653219
Phone Number: 6189272647
Fax Number:
NPI Enumeration Date: 02/05/2015
NPI Last Update Date: 02/05/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 146.012424
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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