Doctor Name: | SUSAN BESHAY |
NPI Number: | 1154553626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22000085A |
Business Practice Address: | 118 Medical Dr Carmel, IN - 460322923 |
Business Phone Number: | 3175731037 |
Business Fax Number: | 8667854924 |
Mailing Address: | 2508 Moore Rd, ANDERSON |
State: | IN |
Postal Code: | 460114620 |
Phone Number: | 7652788168 |
Fax Number: | 8667854924 |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22000085A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |