| Doctor Name: | DR. BETH MACAULEY |
| NPI Number: | 1225065683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., CCC-SLP, HPCS |
| License Number: | 3174 |
| Business Practice Address: | 1764 Riva Ridge Dr Se Grand Rapids, MI - 495468222 |
| Business Phone Number: | 6168188934 |
| Business Fax Number: | 6163315556 |
| Mailing Address: | 1764 Riva Ridge Dr Se, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495468222 |
| Phone Number: | 6168188934 |
| Fax Number: | 6163315556 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |