Doctor Name: | HEATHER DAWN BEARD |
NPI Number: | 1316158462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 13412 |
Business Practice Address: | 5901 Broken Sound Pkwy Nw Ste 500 Boca Raton, FL - 334872791 |
Business Phone Number: | 5613671175 |
Business Fax Number: | 5614177443 |
Mailing Address: | 6350 Tudor Way Apt 206, BAKERSFIELD |
State: | CA |
Postal Code: | 933067085 |
Phone Number: | 6617170033 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |